you gotta know this

Question 1

what does inc CRP indicate?

Answer 1

inc risk for CAD

Question 2

normal MAP?

formula?

no perfusion to organs?

Answer 2

Normal: 70-105

SBP + (DBPx2)/3

<60 will not allow adequate perfusion to organs

Question 3

normal CVP?

what does it measure?

what does it mean if it is inc?

Answer 3

2-8

Measures right ventricular PL

If ­CVP si inc = right ventricular failure and fluid volume overload

Question 4

normal ejection fraction?

Answer 4

55-70%

low: dec CO, SOB

Question 5

pulsus paradoxus?

what is it seen with?

Answer 5

systolic BP dec >10mmHg during inhalation

cardiac tamponade

Question 6

Answer 6

1st degree AV block

asymptomatic, no tx needed

Question 7

Answer 7

AFIB

Question 8

Answer 8

A FLUTTER

Question 9

Answer 9

2ND DEGREE AV BLOCK TYPE 2

more p waves than QRS

Question 10

Answer 10

SVT

HR 150-220

Prolonged: dec CO sx (hypotension, palpitations, dyspnea, angina)

Tx: vagal maneuvers, adenosine (drug of choice)

If all this is unsuccessful, sync cardioversion may be used

Question 11

Answer 11

PVC

Tx: antidysrhythmics

Can preced VF

Question 12

Answer 12

V TACH

Pulse or pulseless

Question 13

Answer 13

V FIB

lethal

Question 14

Answer 14

3rd degree AV block/complete heart block

P wave does not coincide with QRS

CM: dec CO sx

Tx: temporary or permanent pacing

Life threatening

Question 15

Answer 15

sinus tachycardia

Question 16

auscultating a heart

aortic

pulmonic

erbs point

tricuspid

mitral/apex/PMI

Answer 16

aortic: 2nd ICS right of sternal border
pulmonic: 2nd ICS left of sternal border

erbs point: 3rd ICS left of sternal border

tricuspid: 5th ICS to the left of the sternal border

mitral/apex/PMI: 5th ICS at midclavicular line

Question 17

orthostatic vital signs

Answer 17

supine, sitting, standing (2 min each)

if any position changes from supine values produce this…STOP

dec SBP >20

dec DBP >10

in pulse >20

Question 18

how long do you assess apical pulse?

if apical pulse is <___ hold digoxin

Answer 18

Assess apical for 1 minute

if apical pulse is <60, hold digoxin

Question 19

chest tube drainage that is an emergency?

Answer 19

_>_100mL/hr of frank red blood

Question 20

torsades de pointes?

what type of rhythm is this and what can it lead to?

what causes it?

Answer 20

• prolonged QT intervals and ­clients susceptibility to VT
• cause: Hypomag
• Type of VT…can quickly turn into VF

Question 21

narrowed pulse pressure?

Answer 21

SBP-DBP = <40mmHg

Question 22

burns rule of nines?

Answer 22

Question 23

What is the most important thing for burn patients and how do we assess it?

sodium and potassium?

Answer 23

fluid resuscitation (LR), check UO

hypovolemia, dec H&H

hyponatremia, hyperkalemia

Question 24

cranial nerves

Answer 24

I (olfactory) smell

II (optic) visual acuity and fields

III (oculomotor) pupil constriction, extraocular movements

IV (trochlear) extraocular movements

V (trigeminal) clench teeth, light touch

VI (abducens) extraocular movements

VII (facial) facial movements

VIII (acoustic) hearing, romberg test

IX (glossopharengeal) gag reflex

X (vagus) say “ah” uvular and palatte movements

XI (spinal accessory) turn head and lift shoulders to ressitance

XII (hypoglossal) stick out tongue