Whose got rhythm
Normal measurements for the condition system
What is heart rate 60-100, PR interval 0.12-0.20, QRS complex 0.04-0.12, qt interval less than half to R-R.
The CVP measures.
What is the venous return to the heart?
ACS is defined as an
What is an imbalance of myocardial oxygen supply and demand
The proper administration of sublingual nitroglycerin.
What is 1 (0.4mg) nitro tablet under the tongue, up to 3 5 minutes apart. If unrelieved contact health care provider and or go to the emergency department.
Routes for PCI/PTCA.
The brachial artery, femoral artery, radial artery.
A rhythm noted to have no electrical activity.
What is SBP + (2 X DBP) ÷ 3
120/80
120 + 160
280 ÷ 3
93
Complete occlusion of a coronary artery
What is myocardial infarction
Medication that decreases O2 demand by reducing afterload and slowing HR and what the patient should monitor and hold the medication.
What is metoprolol (beta blocker). Monitor heart rate and hold for less than 60.
Surgical procedure to increase blow flow to the myocardium.
CABG (coronary artery bypass grafting) increases coronary perfusion.
A ventricular rhythm that resembles twisting activity.
What is torsades de points?
Physiologic findings for a patient with CHF
What are JVD (jugular venous distention), tachycardia, tachypnea, moist breath sounds, peripheral edema
MI signs and symptoms
What are chest pain/pressure, palpitations, diaphoresis, anxiety, nausea.
Medication used to treat pain for MI, actions of medication and nurse monitoring considerations.
What is MORPHINE. Actions are pain relief and decreased of oxygen consumption. Nurse monitoring considerations are
○Monitor for respiratory depression
○Hypotension
○ N/V
Cardiac pressures to monitor function
CVP (central venous pressure) normal 2-8mmHg, PA (pulmonary artery pressures) normal 25/10mmHg, PCWP (pulmonary capillary wedge pressure (EDLVP)) normal 4-12mmHg. Will be elevated in CHF, PE, cardiac tamponade.
The most common irregular atrial arrhythmia.
What is atrial fibrillation?
Signs and symptoms of left heart failure.
What are dyspnea, fatigue, S3 heart sound, crackles lung sounds, Altered LOC, decreased UOP?
Tests used to identify MI
What are EKG, CK-MB, Troponin
Medication used to treat MI at hospitals without a Cardiac Cath Lab and potential complication.
What is TPA? Patient should be monitored closely for bleeding due to high risk for bleeding.
Patient presents with tearing sensation in the abdomen and chest, pale, diaphoretic, and low BP. Suspicion for
Ascending aortic aneurysm.
Need CTA to verify. Surgical intervention is a must. Keep patient calm. Maintain blood pressure to keep mean at 65mmHG.
Treatment for ventricular fibrillation
What is CPR, defibrillation, medications and intubation.
Causes of right heart failure?
What are left ventricular failure, pulmonary hypertension, right sided MI.
Treatments for MI
What are PCI (primary coronary intervention - stent, angioplasty), Heparin, TPA, CABG (coronary artery bypass grafting).
What medications are used to treat cholesterol and what are the mechanism of action and nursing education for the patient.
Statins - Avorstatin (Lipitor)
Used to block synthesis of cholesterol and increase LDL receptors in liver by ↓ LDL, ↓ Triglycerides ↑ HDL (small amount).
Teach to take a night for better synthesis and follow up with PCP to monitor liver enzymes.
Treatment used to complete heart block.
Transcutaneous pacing until permanent pacing is obtained.