Curved Lines & Hard Times
"Ayyyy-Cee-Ell-Ess"
What's Happnininin?
What to do, What to do?
Oppa, NCLEX Style
100
A specific form of Ventricular tachycardia also known as “twisting of the points”
What is Torsades de pointes?
100
The Acronym ACLS stands for ______.
What is Advanced Cardiac Life Support?
100
A common statement about emotional perception, made by patients prior to a dysrhythmic episode.
What is "Impending Doom"?
100
An outpatient procedure that triggers normal heart rhythm using low-energy shocks...
What is Cardioversion?
100
1) A nurse is viewing the cardiac monitor in a client’s room and notes that the client has just gone into ventricular tachycardia. The client is awake and alert and has good skin color. The nurse would prepare to do which of the following? 1. Immediately defibrillate 2. Prepare for pacemaker insertion 3. Administer amiodarone (Cordarone) intravenously 4. Administer epinephrine (Adrenaline) intravenously
What is to administer amidarone (Cordarone) IV
200
The lower chambers of the heart tend to flutter or quiver rather than beat, causing the heart to pump little or no blood.
What is Ventricular Fibrillation?
200
ACLS liscensure is valid for __ years, and must be accredited by the ____.
What is 2 years, and the American Heart Association?
200
During a dysrhythmic episode, it is important that the nurse does this initially.
What is to stay with the patient and call for help?
200
This is a picture of _____?
What is "Implantable Cardioverter Defibrillator"?
200
2) A nurse is caring for a client with unstable ventricular tachycardia. The nurse instructs the client to do which of the following, if prescribed, during an episode of ventricular tachycardia? 1. Breathe deeply, regularly, and easily. 2. Inhale deeply and cough forcefully every 1-3 seconds. 3. Lie down flat in bed 4. Remove any metal jewelry
What is to inhale deeply and cough forcefully every 1 to 3 seconds. (2)
300
Irregular, wavy baseline without recognizable QRS complexes, P wave is absent and no recognizable QRS complexes and duration. The ECG appears as wavy baseline.
What is ventricular Fibrillation?
300
Used within ACLS, these are sets of instructions meant to standardize and increase the effectiveness of treatment for cardiac medical emergencies.
What are algorithms?
300
A fast dysrhythmia is often seen on an ECG in this pattern
What are rapid, unorganized zigzags? Or just "Zig-Zags"?
300
A risk of using cardioversion that is often treated with warfarin is...
What is Thromboembolism?
300
A nurse is watching the cardiac monitor and notices that the rhythm suddenly changes. There are no P waves, the QRS complexes are wide, and the ventricular rate is regular but more than 100 beats/min. The nurse determines that the client is experiencing which of the following dysrhythmias? 1) Ventricular Tachycardia 2) Ventricular Fibrillation 3) Sinus Tachycardia 4) Premature Ventricualr Contractions
What is Ventricular Tachycardia? (1)
400
This rhythm is known as _____.
What is Ventricular Fibrillation.
400
As an ACLS certified healthcare provider, you are now permitted to Administer Cardiac IV meds, Perform ECG's, and _______ in emergent situations.
What is Intubate.
400
Observing these along with vital signs is a proactive way to treat fast dysrythmias.
What are "Trends"?
400
A procedure done to treat dysrhythmias through the destruction of the causative cells is______.
What is Catheter Ablation Therapy?
400
A 38-year-old female is brought to the Emergency Department with complaints of her “heart beating out of her chest”. She is diaphoretic, tachypneic and her BP is 70/40. The cardiac monitor shows supraventricular tachycardia. Valsalva maneuvers and three doses of Adenosine have not been successful. The nurse should immediately: 1) Prepare the patient for synchronized cardioversion. 2) Give Epinephrine 1 mg IV and repeat in 3 minutes. 3) Give Adenosine 6 mg IV per protocol. 4) Perform unilateral carotid massage.
What is to prepare the patient for synchronized cardioversion? (1)
500
This rhythm is an example of_______.
What is Torsades De Pointes?
500
Following the ACLS algorithm for Cardiac Arrest, what would be the priority assessment once you have performed initial CPR, administered Oxygen, and attached the AED electrodes to the patient?
What is to assess if the rhythm is shock-able or Unshock-able. [ VT/VF= Shock-able :-: PEA/Asystole= Unshock-able ]
500
This is a good indicator that there is not enough oxygen being delivered to the brain and may indicate a dysrythmia.
What is a decreased level of consciousness?
500
Two medications that may be administered along with defibrillation to convert to a normal heart rhythm are ____.
What is Epinephrine or Vasopressin?
500
A nurse is watching the cardiac monitor and notices that the rhythm suddenly changes. No P waves or QRS complexes are seen; instead the monitor shows wavy lines. The nurse interprets that the client is experiencing: A.Premature ventricular contractions( PVC’s) B.Sinus tachycardia C.Ventricular tachycardia D.Ventricular fibrillation
What is Ventricular Fibrillation (D).
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