THINGS SHE STRESSED PT 2-From Steve's Study Guide-Lecture 2/27

Question 1

3 manifestations of P waves in escape rhythms?

Answer 1

One lacks a P-Wave, one has inverted P-wave, and you have one where it appears after the QRS.

Question 2

Atrial Dysrhythmias common cause of ______

Answer 2

stroke

Question 3

Atrial Dysrhythmias-If in the right atria, and travels to lungs, they would get a______

Answer 3

pulmonary embolism

Question 4

Atrial Dysrhythmias-Most often, the concern is the ____atrial clot, it can move from LA into the arterial circulation and get to the brain where an ______ occurs

Answer 4

LEFT; EMBOLIC STROKE

Question 5

If a patient has Premature Atrial contraction it’s just he _____contraction that’s ectopic (does not come from SA node)

Answer 5

ATRIAL

Question 6

comes from Purkinje fibers, happens when SA and AV node fail to fire, the Purkinje will fire to get the ventricles to move. It’s about 15 to 40 BPM

Answer 6

Ventricular Escape rhythm

Question 7

A FIB and Flutter can BOTH cause ______ formation

Answer 7

thrombi

Question 8

Try to suppress A-Fib with ______ and ________

Answer 8

beta blockers; anti arrythmics

Question 9

There’s a
bizarre QRS
(it can have a negative deflection) it can
have a polymorphic-
one up, one down as at left

Answer 9

PVC’s

Question 10

a type of V-Tach/DEADLY

Answer 10

Torsades de Pointes

Question 11

P waves are not

associated with the QRS complexes.

Answer 11

V TACH

Question 12

no identifiable QRS complexes

Answer 12

V Fib

Question 13

characterized by
progressive prolongation of the PR interval until
one P wave is not conducted;
associated with AV
nodal ischemia

Answer 13

Second Degree Type 1 Atrioventricular Block

Question 14

Every QRS has a P wave but not every P wave has a QRS

Answer 14

Second Degree Type 2 Atrioventricular Block

Question 15

can remain in the chest for 18 months or longer which

can monitor for arrhythmias.

Answer 15

DS loop recorder for 3rd degree block

Question 16

PR interval will be greater than .2

Answer 16

First Degree Atrioventricular Block

Question 17

How to treat coronary heart disease?

Answer 17

Baby aspirin, no more than 81mg, and a statin
-a cholesterol lowering drugs. Statins given
to prevent heart attack, slow down inflammatory process in these plaques, slow down the coagulation.

Question 18

Characterized by stenotic atherosclerotic coronary vessels
.
Onset of anginal pain is generally
predictable and elicited by similar stimuli each time
.
Relieved by rest and nitroglycerin

Answer 18

Stable/typical angina

Question 19

May progress to acute infarction

Answer 19

Unstable/crescendo angina

Question 20

Onset of symptoms is unrelated to physical or emotional exertion, heart rate, or other
obvious causes of increased myocardial oxygen d
emand

Answer 20

Prinzmental/variant angina

Question 21

Characterized by vasospasms and abnormal calcium flux

Answer 21

Prinzmental/variant angina

Question 22

Acute coronary syndrome is an umbrella term for ____ and ______

Answer 22

unstable angina; MI

Question 23

Any of the coronary heart syndromes may produce sudden ______

Answer 23

cardiac death

Question 24

acute full occlusion of a coronary artery that leads to death of the myocardium tissue due to lack
of oxygen

Answer 24

STEMI

Question 25

For candidates getting acute reperfusion therapy, how does the cardiologist do it?

Answer 25

angioplasty and stent

Question 26

Patients preventing with symptoms of unstable angina with
no ST segment elevation, these patients have
______

Answer 26

NSTEMI

Question 27

S/S
Severe crushing, excruciating chest pa
in that may radiate to the arm shoulder, jaw, or back
accompanied by nausea, vomiting, diaphoresis (sweating), shortness of breath

Answer 27

ACS

Question 28

In women (and the elderly
and those with diabetic neuropathies)
Atypical symptoms, including fatigue

Answer 28

ACS

Question 29

ECG changes for ACS include _____ elevation, large ____- waves, inverted _____ waves, and deep Q waves which equal old _____

Answer 29

ST; Q; T; MI

Question 30

What’s the treatment for ACS?

Answer 30

Decrease myocardial oxygen demand; beta blockers; PCI (angioplasty with a stent); if not PCI then CABG

Question 31

You hear a low pitched, rumbling _____ murmur in mitral stenosis

Answer 31

diastolic

Question 32

enlargement and failure of the right ventricle which can happen in mitral stenosis

Answer 32

cor pulmonale

Question 33

Increased CK-MB and troponin I and T

Answer 33

ACS

Question 34

Acute occlusion: plaque disruption and thrombus formation and results in _______ OR ______

Answer 34

unstable angina or MI