It is all Aces
Building Blockers
Do I look thinner?
He is so acute
Back to the Basics
100
A HF patient should be on life long ACE I therapy if his/her EF is less than or equal to this
What is 40%
100
Beta 1 receptors are located in this organ
What is the heart
100
This is the action you would take if a patient on anticoagulants stool appeared black and tarry
What is guaiac his or her stool
100
If my patient is suffering from unstable angina I expect to see these changes on the EKG tracing
What are ischemic changes ~ T wave inversion or ST depression
100
This is the formula for cardiac output
What is CO = HR x SV
200
This common side effect is the reason that some people can't tolerate ACE Inhibitors
What is a cough
200

These conditions are indications for BB therapy (at least 2)

What are ACS, HF, HTN, Arrhythmias

200
Your patient is on anticoagulats and has a history of bleeding. You plan to monitor for this neurological symptom.
What is a change in mental status
200
If I see ST elevation on the EKG I expect to send my patient for what intervention
What is PCI
200

This a normal ejection fraction

What is 55-65%

300

ACEIs exert many of their therapeutic effects due to blocking what enzyme

What is Angiotensin Converting Enzyme

300

The nurse would hold a beta blocker at what heart rate?

What is 55

300

You are going to administer Mr. Smith's, Coumadin. Mr. Smith recently had a mitral valve replacement. you check his INR and find it to be 3.4. You take this next action...

What is no action needed target INR is between 2-3.5 for mitral and 1.8 to 2.2 for aortic valve replacement

300
When assessing my patient for appropriateness for PCI, I know what 3 exculsion criteria will prevent them from having a PCI team activation
What are DNR status, active bleeding, NSTEMI
300
At this systolic BP you would you hold a patient's cardiac meds
What is only the MDs parameters (ask for them when needed)! Hypotension is often acceptable if the patient is asymptomatic
400
Angiotensin II is stimulates the release of aldosterone. Aldosterone increases circulating blood volume by acting upon the renal tubules to reabsorb these two substances
What are water and sodium
400

The nurse would need to educate a patient that the therapeutic effects of a beta blocker may take how long?

What is several weeks to even months

400
Your patient is being coumadin loaded and bridged with lovenox. You plan to check these 3 lab values before administering the AM dose of Coumadin
What are PT/INR, platelets, and H/H
400
My patient is suffering a NSTEMI this means they will have a troponin leak ~ true or false?
What is true
400
To assess for these complications, I am frequently checking my femoral approach cath patient's groin site
What are bleeding and hematoma
500

These 2 labs must be carefully monitored during ACE I therapy

What are creatnine & potassium

500
These 3 beta blockers are evidenced based for the treatment of HF
What are metoprolol tartate or succinate, bisoprolol, and coreg
500

Your patient has been admitted with unstable angina. Unfractionated IV heparin has been started. What lab would you assess?

What is aPTT

500
Because of it's vaso/veno dilation and resultant preload reduction, NTG is commonly used in combination with other drugs, to treat an exacerbation of this condition
What is heart failure
500
My cath patient is complaining of intense back pain. I immediately assess his back visually and check his BP. In doing this I am monitoring for what complication?
What is a retroperitoneal bleed
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