Rhythms & Pacers
Angina & MI
Surgery & Aneurysms
Valves
ETC
100

What are the 2 rhythms you can defibrillate?

Ventricular Tachycardia & Ventricular Fibrillation

100

How do you question a patient about their Angina?

Precipitating events 

Quality of pain 

Radiation 

Severity 

Timing

100

What is a CABG?

A coronary artery bypass graph

100

What are the 2 general valvular issues?

Stenosis & Regurgitation

100

What is something that is special for Mechanical but not Tissue valve replacements.

They are on lifelong anticoagulants

**Warfarin**

200

What would you give to treat a patient that is symptomatic and their ECG is showing a rate < 60 bpm?

Atropine

200

What are the 3 Acute Coronary Syndrome categories?

Unstable Angina, NSTEMI, & STEMI

200

What is Beck's Triad?

JVD, distant/muffled heart sounds, & HOTN

200

List the risk factors for a valvular issue.

Degenerative Disease, Rheumatic Fever, Infective Endocarditis, Congenital Malformations, & Marfan Syndrome

200

What are the 2 bacteria that cause Infective Endocarditis (IE)?

Staph & Strep

300

If a pt has AFib, what medication class will they take for the rest of their life and why?

Anticoagulants, they are at a higher risk for a clot to become dislodged that can cause a stroke/vascular occlusion

300

What is the intervention done for a patient experiencing a MI?

Start cardiac monitor, 12 lead EKG, Morphine, Oxygen, Nitroglycerin, Aspirin

300

What are the 2 kinds of aneurysms and what are they at risk for?

AAA & TAA

Rupture & Dissecting

300

Which left sided valve (Stenosis & Regurgitation) would show AFib on an ECG?

Mitral

300

What kind of heart inflammation will cause pain to be worse supine & relieved by sitting/leaning forward?

Pericarditis

400

What rhythm would you try to perform a vagal maneuver on before any other intervention?

SVT

400

What cardiac enzyme lab should you check for a potential MI that was admitted 3 hours ago for chest pain?

Myoglobin

400

List some potential complications post CABG.

HOTN, Hyperthermia, HTN, Bleeding, Cardiac Tamponade, Dysrhythmias, Angina, & Decreased LOC

400

What is a narrowed pulse pressure?

When the systolic & diastolic BP are within 30 mmhg of each other.

400

What condition is a complication of Pericarditis & a CABG? 

Cardiac Tamponade

500

You see an ECG strip that looks normal but the PR interval is longer than 0.2 seconds; what is it showing & what should your nursing action be?

1st Degree Heart Block; continue monitoring

500

Name the 4 cardiac enzymes in order of shortest amount of time to longest it takes for it to return to normal.

Myoglobin, CK-MB, Troponin I, & Troponin T

500

Pt is restless, with ^ RR & HR at 1000.

When you go to back to check on the pt at 1100, they now have HOTN, thready pulses, crackles heard in the lungs, decreased LOC, and cool clammy skin.

What do these assessments show the patient is going into?

Cardiogenic Shock

500

What is the best diagnostic test to assess valves?

TEE

500

What will show on an ECG for a pt with Pericarditis?

ST Elevation

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