Assessment
Labs
Shock and Awe
Back to the basics
Dysrhythmias
BONUS!
Important terms
EKGs
100
Age, gender, family history

What are

NON-MODIFIABLE RISK FACTORS?

100

The normal value for females is 36-48%

What is

HEMATOCRIT (HCT)?

100

The Three stages of shock

What is

COMPENSATORY, PROGRESSIVE, & IRREVERSIBLE

100

Blood flows into the right atria from this

What is

The SUPERIOR VENA CAVA

100

This dysrhythmia needs to be confirmed in 2 different leads

What is 

ASYSTOLE?

100

This gram negative bacteria commonly causes septic shock.

What is

E. COLI

PSEUDOMONAS AERUGINOSA

KLEBSIELLA PNEUMONIAE

ACINEOBACTER

100

The amount of blood ejected from the left ventricle during systole.

What is

STROKE VOLUME?

100

This wave representes atrial depolarization.

What is

the P WAVE?

200

This blood pressure is typically considered to be the upper threshold of "normal."

What is

120/80?

200

The normal value for males is 13-18 g/dL

What is

HEMOGLOBIN (Hgb)?

200

This lab value is elevated in septic shock.

What is 

Serum Lactate

200

The right atria and ventricle are separated by this valve.

What is

The TRICUSPID VALVE?

200

This dysrhythmia is described as "irregularly irregular."

What is

ATRIAL FIBRILLATION?

200

Potential causes of secondary hyptertension (include 3)

What is:

RENAL DISEASE

ADRENAL GLAND TUMORS

CERTAIN CONGENITAL HEART DEFECTS

CERTAIN MEDICATIONS

ILLEGAL DRUGS

200

The pressure from the volume of blood in the ventricles at the end of diastole, or the amount of blood ruturning to the heart.

What is

PRELOAD?

200

This complex represents ventricular depolarization on an EKG.

What is 

THE QRS COMPLEX?

300

This is the point that the cardiac impulse can be best palpated, typically found at the 5th intercostal space.

What is

The PMI? 

(Point of Maximal Impulse)

300

This is the "normal" range for platelets

What is

150,000-450,000?

300

This type of shock is characterized by decreased systemic vascular resistance (SVR) and an increase in cardiac output

What is 

DISTRIBUTIVE SHOCK?

300

The right ventricle pumps bleed through this to the right and left pulmonary arteries.

What is

The PULMONIC VALVE?

300

These two lethal dysrhythmias are considered "shockable"

What are

VENTRICULAR TACHYCARDIA & VENTRICULAR FIBRILLATION?

300

This component of the complete blood count (CBC) indicates the oxygen carrying capacity of the blood.

What is

HEMOGLOBIN?

300

The force of pressure the ventricle has to overcome to push blood into circulation.

What is

AFTERLOAD?

300

This wave represents ventricular repolarization on an EKG.

What is

the T WAVE?

400

The correct sequence for auscultating the heart.

What is:

AORTIC

PULMONIC

ERB'S POINT

TRICUSPID

MITRAL

APE To MAN

400

This is the desirable range for total cholesterol.

What is

<200?

400

This type of shock occurs when a bacterium's endotoxins activate an immune reaction.

What is

SEPTIC SHOCK?

400

The left atria and ventricle are separated by this valve.

What is

The MITRAL VALVE?


400
This is the reason antiarrhythmic drugs should be used with caution.

What is

BECAUSE THEY CAN ALSO CAUSE ARRHYTHMIAS

400

This should be done by the nurse prior to administering the shock during cardioversion.

What is

TURN ON THE SYNC BUTTON?

400

This is the ability of cells to conduct electrical impulses.

What is

CONDUCTIVITY?

400

This structure is referred to as "the pacemaker of the heart."

What is

The SA NODE?

500

A patient's primary reason for seeing medical care is often referred to as this.

What is

CHIEF COMPLAINT

or

REASON FOR SEEKING CARE

500

This is the desirable level for HDL Cholesterol

What is 

>/= 60

500

This category of shock has three types.

What is 

DISTRIBUTIVE SHOCK

500

This valve separates the left ventricle from the aorta.

What is

The AORTIC VALVE?

500

Prior to any intervention for a patient with a dysrhythmia, this should be done FIRST by the nurse.

What is

CHECK THE PATIENT?

500

This component of the blood is essential for clotting (Thrombocyte count)

What are

The PLATELETS?

500

This term means narrowing and when it involves a heart valve less blood is able to flow through the valve.

What is

STENOSIS?

500

This rhythm represents electrical activity when impulses originate in the SA node.

What is

NORMAL SINUS RHYTHM

600

This tool is used for cardiac auscultation.

What is

A STETHOSCOPE?

600

A patient with a triglyceride level of 385 is considered...

What is 

HIGH?

600

The three types of distributive shock.

What is

NEUROGENIC, SEPTIC, & ANAPHYLACTIC

600

The three types of Angina

What is:

STABLE

UNSTABLE

PRINZMETAL'S/VARIANT

600

CONTRARY to what is portrayed on TV, this rhythm is not considered "shockable."

What is

ASYSTOLE?

600

This condition is ofter referred to as the "silent killer."

What is

HYPERTENSION?

600

This term refers to the RATE of electrical CONTRACTION

What is 

CHRONOTROPIC?

600

This term means an INCREASE in electrical charge and it generates cardiac CONTRACTION.

What is

DEPOLARIZATION?

700

Triad of hypotension, jugular venous distention, & distant heart sounds.

What is

BECK'S TRIAD?

700

This cardiac marker is most sensitive and specific to indicate myocardial damage.

What is

TROPONIN?

700

This type of shock has the highest mortality rate.

What is

CARDIOGENIC SHOCK?

700

This is the most common form of hypertension which develops gradually over time.

What is 

PRIMARY HYPERTENSION?

700

These dysrhytmias usually require the placement of a pacemaker.

What are

SECOND AND THIRD DEGREE HEART BLOCKS

700

This is the "normal" range for Troponin I

What is

<0.04 ng/mL?

700

This term revers to the RATE of electrical CONDUCTION.

What is

DROMOTROPIC?

700

This term refers to cellular recovery and occurs when ions returning to the cell membrane in preparation for depolarization.

What is

REPOLARIZATION?

800

Triad that includes a hypercoabulable state, circulatory stasis, & vascular wall injury.

What is

VIRCHOW'S TRIAD?

800

This lab test us used to assess for heart failure.

What is

BRAIN NATRUIETIC PEPTIDE (BNP)?

800

This type of shock is the most common

What is

HYPOVOLEMIC SHOCK?

800

This term refers to death of the myocardium

What is

A MYOCARDIAL INFARCTION

800

This is done after obtaining consent and the patient has been sedated.

What is

CARDIOVERSION?

800

When the SA node, AV node, and bundle branches fail, this takes over. Include the rate!

What are

THE VENTRICLES at a rate of 20-40 bpm

800

This term refers to the strength of CONTRACTION.

What is

INOTROPIC?

800

This term refers to abnormal electrical activity.

What is

DYSRHYTHMIA

        or

ARRHYTHMIA

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