CVADs and hemodynamic monitoring
The hemodynamic monitoring device used to monitor BP continuously
This is the cardiac biomarker indicative of heart damage specifically
What is troponin?
This is the atrial rhythm that is an irregular rhythm
Bonus: What med is essential for someone with this rhythm
What is a fib? Pt needs to be on anticoags
These are the precautions needed for open heart procedures like CABGs and valve replacements
Name them
Sternal precautions (bracing the chest with a pillow, cant reach over head or behind the back, cant lift over 10lbs, cant push or pull)
This is the med used to treat sinus bradycardia
What is atropine
The types of catheters placed in large vessels for high volume meds
What is Central Venous access devices?
This is the biomarker that measures how well the heart is doing
BNP
This is the treatment that is synced to shock on the R wave and at a lower voltage
What is cardioversion?
These are some of the s/s of an MI
Name at least 5; Bonus what is the difference between the s/s of men and women
what is chest pain, anxiety, tachypnea, tachycardia, SOB, cool and clammy skin, radiating pain to left arm, neck, and jaw, epigastric pain
women may experience fatigue and chest tightness vs the stereotypical chest clutching pain that is usually portrayed
This is the first line drug for coding someone
Epinephrine
This measurement monitors fluid status in the right side of the heart.
Bonus what is the normal ranges and what do the abnormal values mean
What is Central venous pressure
Normal is 0-8. Less than 0 indicates hypovolemia and greater than 8 indicates hypervolemia or right sided HF
This is the diagnostic that is used to see the left side of the heart better
What is a TEE
These are the rhythms that are able to be defibrillated
what is pulseless Vtach and Vfib?
These are the things that are taught to patients who are getting a PCI
Name at least 4
What is avoiding pushing and pulling, avoid heavy lifting (>10lbs), med compliance, infection prevention (no lotion on the site, no pool, lake, or bath for a week)
These are the drugs that are used to lower BP but is contraindicated with pregnant women
Give examples
ACEis (lisinopril) ARBs (losartan)
These are things done for CLASBI prevention.
Name at least 3
Maintaining Sterility
keeping site clean, dry, and intact
sterile dressing changes Q7 days or PRN
CHG bath Q24hrs
proper hand hygiene
scrubbing the hub
antiseptic impregnated caps
This is the thing that needs to be assessed after a TEE
What is gag reflex
These are the lethal rhythms that are not shockable
What is PEA and asystole
These are potential s/s of stenosis of the tricuspid valve
Name at least 3
What is increased BP, JVD, peripheral edema, enlarged spleen and liver, weight gain, polyuria at night
This is the therapeutic range for digoxin
What is 0.6-1.2
These are things you monitor for during the insertion of CVADs
what is SVT and Vtach
This is the Cardiac biomarker that increases 6hrs after injury and peaks at 48hrs
What is troponin?
These are the precautions needed for a pt with an ICD
Name all of them
What is wear a wristband and carry the manufactures ID card, get patted down at the airport and not waved down with the wand, and avoid sources of magnets (large stereos, chain saws, car engines, MRIs, radiation tx, TENS units, electrocautery)
These are the forward and backward signs of left sided CHF.
Name at least 3 of each
Forward: confusion, fatigue, tachycardia, weal pulses, cool pale extremities, Oliguria during the day and nocturia at night
Backward: pulmonary edema ( crackles, dyspnea, frothy tinged pink sputum, non productive cough)
This is the last med used to try to treat SVT
What are considerations for this med
What is adenosine
Pt needs to be on continous monitoring, hooked up to a zoll, and provider needs to be at the bedside