test 2 pt.2 Flashcards

1
Q

in the p wave..

A

the atria is contracting; sending the electrical impulse

depolarization

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2
Q

pr segment

A

identifies the isoelectric line; impulse is traveling

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3
Q

pr interval

A

length of time the impulse is being sent from sa node to perkinges fibers; shouldn’t be longer than .20seconds

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4
Q

t wave

A

repolarization of ventricles

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5
Q

st segment should

A

come back to baseline

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6
Q

is st segment goes up what does this mean

A

MI; injury

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7
Q

u wave can represent

A

hypokalemia; low potassium

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8
Q

av node is the

A

gatekeeper. holds onto impulse for atrium to do one last squeeze which is 25% of cardiac output

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9
Q

t wave inversion

A

ischemia

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10
Q

tissue death; abnormal q wave

A

infarction

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11
Q

peaked t wave

A

hyperkalemia high potassium

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12
Q

stretch on ventricle at end of diastole

A

preload

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13
Q

pressure the ventricles outcome to inject blood out

A

after load

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14
Q

primary hyperlipidemia

A

caused by genetics

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15
Q

secondary hyperlipidemia

A

result from another disease

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16
Q

feb 1

A

go red for women; cardiac health month; 1 in 5 will die of cardiovascular

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17
Q

-statins are for

A

hypercholesterolemia

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18
Q

why should statins be given at night

A

cholesterol is produced and liver works the most

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19
Q

artierosclerosis

A

hardening of arteries

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20
Q

atherosclerosis is mainly what

A

fats cause thickening of vessels

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21
Q

pain in calf when walking

A

claudication

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22
Q

another manifestation of pad

A

thinning of skin; shining ; lack of hair on lower extremities

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23
Q

primary raynauds is seen in who

A

healthy young women

24
Q

secondary raynauds is

A

already been injury to areas ; frostbite

25
Q

dissolves a dangerous clot

A

thrombolytics

26
Q

substernal back and neck pain, dyspnea, stridor, hoarseness

A

thoracic aneurysms

27
Q

once you palpate an abdominal aneurysm what do you not do

A

dont go back and palpate again, could rupture.

28
Q

marfan syndrome is very common to affect

A

the heart ; aortic valve disorder

29
Q

hypertensive crisis

A

180/120

30
Q

cardiac disease

A

imbalance of oxygen supply and oxygen demand

31
Q

angina pectoris

A

chest pain

32
Q

stable angina will last how long

A

less than 20 minutes

33
Q

3 types of acute coronary syndrome

A

unstable angina pectoris
NSTEMI- did not go through all heart layers
STEMI- did go through all heart layers

34
Q

last longer than 20 minutes and chest pain is not relieved by sitting them down after an activity; occurs with activity or rest

A

unstable angina

35
Q

chest pain happen at night caused by vasospasms

A

Variant (Prinzmetal’s) angina

36
Q

unstable angina non modifiable

A

rash

race, age, sex, hereditary (AA)

37
Q

unstable angina modifiable

A

cholesterol, smoking, physical inactivity, hypertension, serum homocysteine,

38
Q

why would you give morphine

A

for pain; vasodilator, helps with breathing

39
Q

reversal of narcotic

A

narcan

40
Q

why give a beta blocker to treat ACS

A

beta receptors b1-heart, b2-lungs; chemical that stimulates beta receptor epi-increase oxygen demand, heart rate

41
Q

reversal for heparin

A

protamine sulfate ; coagulates

42
Q

you can ABSOLUTELY not have a thrombolytic if

A

you recently had surgery; stroke within past 2 months; recently pregnant

43
Q

if a girl is mense aka on period will you give a thrombolytic

A

yes

44
Q

most common cause of endocarditis

A

staphococcal

45
Q

infective endocarditis

A

osler nodes- hurts

janeway lesions

46
Q

rheumatic heart disease occurs after WHAT

A

GROUP A STREP

47
Q

how do you find out if a patient has rheumatic heart disease

A

throat assessment -white patches, swollen tonsils and lymph nodes

48
Q

right sided heart failure

A
peripheral edema - swelling in legs
mesentary congestion - ascites- swollen belly 
jugular vein distention 
shortness of breath
fatigue 
SYSTEMIC SIGNS AND SYMPTOMS
49
Q

left sided heart failure

A

pulmonary edema - wet lungs (crackles)
decrease oxygen
hemophysis- pink froth sputum *only on left side**

50
Q

only reversible myocardiopathy

A

taco subo

51
Q

mitral valve stenosis is caused by what

A

rheumatic fever (untreated strep) and its a lifelong disorder

52
Q

3 manifestations of acute pericarditis

A

chest pain, friction rub, ecg changes

53
Q

how to treat acute pericarditis

A

aspirin or NSAIDS, if dont work Colchicine

54
Q

Cardiac Tamponade: Becks Triad

A

jugular venous distension, low bp, muffled heart sounds

55
Q

is a disease in which the heart muscle (myocardium) becomes abnormally thick (hypertrophied)

A

hypertropic cardiomyopathy

56
Q

hypertropic cardiomyopathy treatment

A

beta blocker

calcium channel blocker

57
Q

1 contraindication for thrombolytic

A

prolonged cpr