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NCLEX Review > Review three- CARDIAC > Flashcards

Review three- CARDIAC Flashcards

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1
Q

ccbs are like ___ for your heart

A

valium

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2
Q

ccbs calm/___ the ___

A

calm/depress the heart

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3
Q

ccbs are NOT used for ___ and ___

A

bradycardia or stimulation

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4
Q

ccbs are tx for (a,aa,aaa)

A 
anthyprtensives
antanginals
anti-atrial arrythmia (a flutter, afib, premature atrial contractions)
SVT
ATRIUM ONLY
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5
Q

ccb side effects

A

headache, hypotension

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6
Q

when choosing se on a sata ___ is usually a good guess

A

headache

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7
Q

ccbs end in

A

dipine
“dipping in the calcium channel”
& varapamil, cardizem

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8
Q

what should you assess prior to administering a ccb

A

assess BP

hold if under 100 systolic

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9
Q

vfib is

A

no pattern; random

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10
Q

vtac is

A

sharp peaks

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11
Q

asystole

A

no rhythm

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12
Q

QRS depolarization means

A

ventricular issue

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13
Q

pwave is

A

atrial

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14
Q

no qrs

A

asystole

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15
Q

saw tooth pattern

A

a flutter

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16
Q

chaotic pattern

A

fibrilations

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17
Q

bizarre pattern

A

tachy

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18
Q

periodic wide qrs

A

pvcs

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19
Q

when you dont know how fast an iv push should be admin choose

A

slowly

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20
Q

pvcs are usually __ priority

A

low

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21
Q

pvcs are moderate priority if

A
  • more than 6/min
  • more than 6 in a row
  • falls on t wave of previous beat
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22
Q

svt or atrial arrhythmia drugs (abcd)

A

Adenocard
Beta Blockers
CCBs
Digitalis

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23
Q

lethal arrhythmias

A

asystole or vfib; no cardiac output/brain perfusion

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24
Q

potentially life threatening arrhythmia

A

vtach

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25
Q

tx pvcs and vtach w

A

lidocaine or amiodarone

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26
Q

adenocard=

A

adenosine

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27
Q

beta blockers end in

A

lol

28
Q

digitalis=

A

digoxin/lanoxin

29
Q

bb contraindication

A

asthma

30
Q

bb se

A

headache, hypotension

31
Q

if the patient has vfib you

A

dfib!

32
Q

asystole tx

A
  1. epi

2. atropine

33
Q

chest tube purpose

A

reestablish neg pressure in pleural space

34
Q

pneumothorax chest tube removes

A

air

35
Q

hemothorax chest tube removes

A

blood

36
Q

chest tube report to dr asap if

A

no bubbles
drain 800ml or more in first 10hrs
no draining
intermit. bubbling

37
Q

apical tube location removes

A

air

38
Q

basilar tube location removes

A

blood

39
Q

always assume chesttube is __ unless specified

A

unilateral

40
Q

pneumonectomy does not require a

A

chest tube

41
Q

if the pneumovac gets knocked over the patient should take

A

deep breathes

42
Q

what should the nurse do if the waterseal on a chest tube breaks

A

clamp so no air gets in, cut it, place tube in sterile water, unclamp

43
Q

what should the nurse do if a chest tube is pulled out

A

first gloved hand cover hole

best cover with vaseline gauze

44
Q

intermittent bubbling in water seal is

A

good; document

45
Q

continuous bubbling in water seal is

A

bad; theres a leak, tape it

46
Q

intermittent bubbling in suction control chamber is

A

bad; not enough suction

47
Q

continuous bubbling in suction control chamber is

A

good; document

48
Q

a straight cath is to a foley as thoracentisis is to a

A

chest tube (increased rx for infection)

49
Q

dont clamp a chest tube for longer than ___ sec w/out a dr order

A

15 sec

50
Q

congenital heart defects think

A 
T if it starts w a T its trouble
Right to left bloodflow
O
U
Blue/cyanotic
L
E
51
Q

all congenital heart defects that start w T are

A

trouble!

52
Q

all congenital heart defect pts will have

A
  1. a murmur

2. have an echo done

53
Q

4 defects of tetralogy of fallow

A 
"Varied pictures of a ranch"
VarieD PictureS Of A RancH
VD- ventricular defect
PS- pulm. stenosis
OA- overriding aorta
RH- right hypertrophy
54
Q

contact precautions are

A

anything enteric; fecal oral, staph, RSV, herpes

55
Q

droplet precautions are

A

travel 3ft on particles; meninigitis, hflu

56
Q

hflu causes

A

epiglottitis

57
Q

airborne precautions

A

mmr, tb, chickenpox

58
Q

hepatitis anything w a vowel comes from the bowel

A

hep a&e

59
Q

contact precautions ppe

A

gloves, gown, handwashing, disposable supplies

60
Q

droplet precautions ppe

A

mask, gloves, handwashing, pt must wear mask when leaving room, disposable supplies

61
Q

airborne precaution ppe

A

mask, gloves, handwashing, pt mask, neg airflow room

62
Q

PPE removal is in

A

alphabetical order;

gloves, goggles, gown, mask

63
Q

PPE application reverse alphabetical except for mask is second

A

gown, mask, goggles, gloves

64
Q

IV drip rate equation

A

volume x gtt factor/ time (min)

65
Q

micro/mini gtt

A

60ggt/ml

66
Q

macro gtt

A

10gtt/ml

NCLEX Review (12 decks)

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