The Rhythm is Gonna Get You
These Boots are Made for Walkin
Under Pressure
99 Luftballons
I Can't Feel My Face
Bad Medicine
100
Normal Sinus Rhythm
100
Raynaud's disease
100
I am the desired blood pressure
Under 120/80
100
How is an aneurysm formed?
Localized dilation formed at a weak point in the arterial wall
100
BEFAST
Balance, eyes, face, arms, speech, time
100
Dietary restrictions of amlodipine
No grapefruit juice
Ca+ channel blocker
200
Asystole
200
I am the primary cause of peripheral artery disease
Atherosclerosis
Also: HTN, DM, Age, Smoking,
200
There may be no clear cut reason for me
Primary hypertension
200
Risk factors for an aneurysms
Male, atherosclerosis, uncontrolled HTN, smoking, hyperlipidemia, family hx, blunt force trauma, syphilis, increasing age
200
This patient may experience poor proprioception and disorientation to person, place, and time. They may not recognize familiar faces and we may see impulsive behavior, poor judgment, and personality changes. What sided stroke would this be indicative of?
Right sided stroke
200
Drugs used with peripheral artery disease include what drugs?
Antiplatelets and statins
300
Atrial fibrillation
300
In this peripheral disorder, leg hair is absent and not because they got a wax
PAD
300
I am caused by another disease (i.e renal disease)
Secondary HTN
300
This assessment finding of a AAA would be described how?
Pulsatile abdominal mass
300
Types of strokes
TIA, ischemic, hemorrhagic
300
Side effects of this class of drugs include dizziness, low blood pressure, or dry cough
Ace inhibitors
400
SVT
400
This vascular disorder is almost seen exclusively in smokers or former smokers
Buergers Disease
400
For patients taking antihypertensive medications, these signs and symptoms need to be taught to the patient
Dizziness, lightheaded, tired, confusion, syncope
400
In addition to surgery, AAA are treated with what else?
Fluid resuscitation
400
Impairments may include aphasia, agraphia, and slow performance. They may be aware of the deficits and may experience anxiousness or guilt.
Left sided stroke
400
Your patient is found to be in pulseless v tach. CPR is initiated. What medications do you anticipate being administered?
Epinephrine
Amiodarone
500
2nd degree Heart Block I (Mobitz 1 or Wenkebach)
500
These two things can be used to diagnosed PAD
Magnetic Resonance Angiography (MRA)
Ankle-Brachial Index
500
I should be kept to help keep track of blood pressures and why
BP journal
To start weaning of BP meds when controlled for >1 year
500
A tear in the inner layer of the aorta
Aortic dissection
500
This scale is used to gauge stroke severity
NIHSS
500
What are some of the classes of drugs used to treat HTN?
Diuretics, Ca Channel Blockers, ACE, ARB's, Beta Blockers, Central-Alpha 2 Agonists
600
Atrial flutter
600
I am the preferred position with someone with venous insufficiency
Legs elevated (promotes venous return)
600
I am the #1 complication of hypertension
Kidney disease
Others include hemorrhagic stroke, heart failure, PAD, PVD)
600
Symptoms of aortic dissection
Sudden chest/abdominal or back pain ("ripping" "burning") pulseless arm, decreased LOC
600
Agnosia, aphasia, agraphia, alexia
Can't recognize, can't speak, can't write, can't read
(or limitations of each)
600
I am an anticholinergic medication that raises the heart rate
atropine
700
Third degree heart block
700
One way of looking at this is as stable angina of the gluteus maximus
Intermittent claudication
700
Treatments for hypotension
Fluids
Vasopressors (norepinephrine, Vasopressin, Dobutamine, dopamine)
700
How is an aortic dissection treated?
Emergent surgery (and only 20% success rate)
700
Your patient has expressive aphasia. What are ways to effectively communicate with them?
Fill in the words for the patient they can’t say.
Don’t repeat questions.
Ask questions that require a simple response.
Use a communication board.
Discourage the patient from using words.
700
Tissue plasminogen activator must administered un what time frame to be most effective?
Less than 6 hours of last know well time
800
Ventricular Tachycardia
800
You must assess these 6 things with a peripheral vascular assessment
Pain, pallor, pulselessness, paresthesia, paralysis, poikilothermia
800
Describe a heart healthy diet
Fruits and veggies, whole grains, lean proteins, low fat, little to no salt (<2g), limited or no ETOH, avoiding processed foods
800
Sharp, sudden, severe abdominal or back pain, hypotension, tachycardia, pulsatile mass in abdomen are commonly presented symptoms of what complication?
Ruptured AAA
800
The patient says they can only see half of the objects in the room. This finding is known as
hemianopsia
800
I lower blood pressure and sometimes blood sugars
Beta blockers
900
First degree heart block
900
With PAD, feet should be in which position and why?
Dependent-forces arterial blood down
900
Modifiable risk factors of HTN
Smoking, stress, obesity, DM, alcohol, diet, sedentary lifestyle
900
Sometimes people have AAA and it is managed medically because of it's size. What complication must be anticipated?
Thrombus formation
900
Interventions for stroke patients include:
Assess, positioning, support, safety, injury prevention, feeding.......
900
What labs are associate with the following meds?
Warfarin
Heparin
Enoxaparin
Warfarin-PT/INR
Heparin aPTT
Enoxaparin CBC/platelets periodically
Guiac-all
1000
Ventricular fibrillation
1000
Risk factors for VTE
•Surgery
•Heart Failure
•Immobility
•Pregnancy
•Oral Contraceptives
•Active Cancer
1000
I am characterized with a BP of >180/120 with signs of organ damage
Hypertensive emergency
1000
Aortic dissection contributing factors include:
Marfan's, Hypertension, trauma, drugs
1000
Your patient moves their hand away when you apply pressure to the nail bed. The patient can make words but not form coherent sentences. They open their eyes to pain, but not to speech. What is their GCS?.jpg?1572364757)
9
Eye:2
Verbal: 3
Motor: 4
1000
Control alt delete drug
Adenosine