Assessment
Name for brain attack warning sign.
transient ischemic attack (TIA)
Term for spontaneous occurrence and/or resolution of a dysthymia such as A-fib
paroxysmal
Best diet choice for CAD pts
Mediterranean (Plant based)
Place the diaphragm of your stethoscope here to auscultate Erb's Point.
3 ICS LSB
Normal PRI
*Must have both time and box increments
0.12-0.2 seconds
3-5 small boxes
Intrinsic rate of the purkinje fibers?
20-40 BPM
We must have a 6 second strip to properly interpret a cardiac rhythm. A 6 second strip will contain how many large boxes?
30 large boxes (1 large box = 0.2 seconds...0.2 X 30 = 6 seconds)
Name at least 2 nursing considerations prior to a cardiac stress test:
NPO, avoid stimulants, wear proper clothing, discuss cardiac meds with HCP (Holding?), post procedure monitoring (10-15 mins), have emergency equipment available.
Name at least 3 communication strategies for pts after having a CVA
face the pt, stand on their unaffected side, do not try to complete sentences for them, consistent schedules, consult ST, use short sentences, avoid jargon, give one instruction at a time rather than a list
Name for heart attack without EKG changes
NSTEMI
Synchronized cardioversion prevents what potential complication?
R on T Phenomenon
VS to monitor during CVA management
BP r/t Cerebral Perfusion Pressure (CPP)
CO = ___ X ___
HR X SV
Medication used to treat Sickle cell disease (SCD)
hydroxyurea
Name at least 2 possible complications of a TEE.
*do not include infection and/or bleeding
Aspiration, Respiratory distress, Vasovagal response, esophageal perf
Anatomical location for EKD lead: V6
5th ICS L MAL
Needs to be initiated within 20 minutes of CVA s/s recognition.
Non-contrast CT
1. Name a vein carrying oxygenated blood
2. Name an artery carrying deoxygenated blood
*must name both for credit
1. Pulmonary Vein
2. Pulmonary Artery
Name 3 interventions for PE Prevention.
no smoking, no oral contraceptives, early/frequent ambulation, avoid dehydration, don't cross legs, ROM, elevate LE, no massaging legs, reposition q2hrs if unable to ambulate, SCD hose, anticoagulants, properly prime tubing, proper line insertion/removal.
slight widening of the QRS complex
Portion of the cardiac rhythm representing BOTH ventricular depolarization and ventricular repolarization
QT Interval
Name 5 steps of EKG interpretation
*Must be in order
1. Rate
2. Regularity (Rhythm)
3. QRS
4. P Wave
5. PRI
Name & draw 3 lethal rhythms
1. V Tach
2. V Fib
3. Asystole
4. PEA
Nursing Considerations for adenosine admin
*must name 2
must have HCP at bedside, elevate arm after admin, rapid IV infusion, Immediate rapid flush, educate pt on feeling, must be on cardiac monitor
Define the following symptoms of a CVA:
1. Dysarthria
2. Apraxia
3. Agnosia
4. Hemiparesis
5. Hemiplegia
*Need 3/5 for points
1. Dysarthria- difficulty speaking
2. Apraxia- inability to perform previously learned tasks
3. Agnosia- inability to recognize objects
4. Hemiparesis- weakness
5. Hemiplegia- paralysis