Cardiac Meds
Patient education for this medication includes storing in a dark, cool, dry environment and not removing it from its original container
NTG Tabs
What does P wave in ECG represent?
Atrial depolarization/contraction
This lab if elevated is indicative of heart failure
BNP
Which term describes the force against which the ventricle must expel blood
Afterload
This hallmark symptom of peripheral arterial disease is muscle pain in the legs that occurs with walking and is relieved by rest.
intermittent claudication
What is the class of Metoprolol and what do you check prior to administration?
A Beta-blocker. HR and BP.
What are the two shockable rhythms in resuscitation?
What are Ventricular Fibrillation and pulseless Ventricular Tachycardia
This cardiac test measures the electrical activity of the heart
ECG
This electrolyte imbalance increases the risk if digoxin toxicity.
Hypokalemia
What interventions should be the first priority when treating a client experiencing chest pain while walking?
Have the patient stop the activity to see if the pain stops
Which Drug class prevents the conversion of angiotensin I to angiotensin II
Ace inhibitors
In the cardiac cycle what does the PR interval represent?
The time from Atrial depolarization to ventricular depolarization
Which type of angina is most closely related with an impending MI?
Unstable angina
This priority nursing intervention is essential during acute rheumatic fever to reduce cardiac workload and prevent complications.
bed rest during the acute phase
Name Treatments used for Atrial Fibrillation (AF)
Blood thinners: Heparin, Enoxaparin, warfarin, apixaban
Rate control: Calcium channel blockers, beta blockers, digoxin
Rhythm Control: Amiodarone, Flecainide, cardioversion
Identify the rhythm
Rate:115
Rhythm irregular
P waves 1 for every QRS
PR interval 0.16s
QRS .07s
Sinus tach
Which blood test is most indicative of cardiac damage?
Troponin
A patient with mitral regurgitation is likely to develop this type of heart enlargement due to volume overload.
Left Atrial enlargement
A client comes into the E.R. with acute shortness of breath and a cough that produces pink, frothy sputum. Admission assessment reveals crackles and wheezes, a BP of 85/46, a HR of 122 BPM, and a respiratory rate of 38 breaths/minute. The client’s medical history included DM, HTN, and heart failure. Which disorder should the nurse suspect?
Pulmonary Edema
Drug used for chemical cardioversion
Adenosine
Identify the rhythm and interventions
Rate: unmeasurable
Rhythm irregular chaotic
P waves - not visible
PR interval unable to determine
QRS none
V Fib- Defibrillate & CPR
This test is indicated for a patient diagnosed with a STEMI
Cardiac Cath
These are painless, flat, red spots on the palms and soles seen in infective endocarditis.
Janeway lesions
A nurse is charting notes after an assessment of a patient. They note the patient had SOB, HR- 114, RR- 24, bulging neck veins and muffled heart sounds. What do they suspect is wrong with this patient?
Cardiac tamponade