What is normal?
The Pump
Priority Assessment
Lab Values & Hemodynamics
Diagnostics
100
The size of the human heart.
What is the size of the fist
100
Blood pressure= ___________ x ___________
Blood pressure= Cardiac output x Peripheral vascular resistance
100
What is the primary nursing assessment for an older adult with changes in baroreceptors?
Dizziness in change in positions
100
What is the gold standard serum test for the diagnosis of an Myocardial Infarction (MI)?
Troponin T <.10; I <.03
100
The Joint Commission's National Patient Safety Goals requires this to be signed prior to a cardiac catheterization?
Informed consent
200
Normal heart rate and rhythm for an adult
What is 60-100 and regular
200
The baroreceptors and chemoreceptors are controled by which nervous system?
Autonomic nervous system excites or inhibits the sympathetic nervous system
200
What is the nurse's primary assessment for a older adult with cardiac valve degeneration or calcification?
Murmur
200
An elevation in CKMB can be an indicator of myocardial infarction or what other type of injury?
skeletal muscle injury
200
Which lab results are reviewed prior to a cardiac catheterization and why?
Electrolytes- potassium BUN/Creat- kidney function- receiving dye CBC- infection, anemia
300
Where would you place your stethoscope to auscultate the aortic area?
2nd intercostal space to the right of the sternum
300
Describe how the kidneys play a role in regulation of cardiac activity.
Decrease in renal blood flow or blood pressure, kidneys retain sodium and water. Activated by the RAAS system= vasoconstriction and sodium retention
300
What is the primary assessment for an older adult who has changes the electrical conduction system?
dysrhythmias, heart rate <60 beats/min
300
What is the purpose of the Pulmonary artery catheter?
Measure right arterial and indirect left arterial pressures.
300
Critical Rescue You are caring for a patient post cardiac cath. Neurologic changes such as visual disturbances, slurred speech, swallowing difficulties, extremity weakness are sign of .........?
A possible stroke...Report IMMEDIATELY
400
The first heart sound (S1) is created by closure which 2 valves?
Tricuspid and mitral
400
What is MAP?
Mean arterial pressure (MAP) - adequate blood flow through the coronary arteries, maintain perfusion of major body organs. 60 -70 mmHG
400
What is the difference in the pain of Angina and pain of a Myocardial Infarction?
Angina pain < 15 mins, subside with rest, oxygen or nitroglycerin. MI pain is constant, relieved with morphine, cardiac medications, oxygen.
400
A middle aged man is being admitted to the cardiac after reports of severe headache and flushing. BP 192/104, HR 88, alert, oriented. What assessment data will you perform upon his arrival?
ABC, neuro check, IV, O2, cardiac monitor.
400
A client is admitted to the telemetry unit after a right sided cardiac catheterization. What is the nurse's priority when caring for this client?
Assess the client's arterial insertion site
500
Cardiac output= ___________ x ____________
Cardiac output= Heart Rate x Stroke Volume
500
Name the cardiac valves in order of blood flow.
Tricuspid, Pulmonic, Mitral, Aortic
500
A female who is having a myocardial infarction may experience which set of symptoms instead of intense pain or pressure in the chest?
Indigestion, feelings of chronic fatigue or a choking sensation
500
Name 2 serious complications of a cardiac catheterization?
Myocardial infarction Stroke Arterial bleeding Thromboembolism Lethal dysrhythmias Arterial dissection Death
500
You enter the patient's room, the patient is crying and states" The Doctor said I needed a stress test, I can't walk very well because of my knee replacement. What am I going to do?" What is the nurse's best response?
Options of a pharmacologic stress test- Medication (dopamine) injected to increase heart rate vs. walking on a treadmill
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