Heart Failure
Finding most associated with left-sided HF?
100: Bibasilar crackles/pulmonary congestion.
Normal SA node rate?
60-100/min
Rhythm with no identifiable P waves and irregular R-R intervals?
Atrial fibrillation
Hold digoxin for an apical pulse below what usual threshold?
60/min
Chest pain relieved by sitting up and leaning forward suggests?
Pericarditis
Finding most associated with right-sided HF?
Dependent edema/JVD/ascites.
Normal PR interval?
0.12-0.20 sec.
Sawtooth F waves?
Atrial flutter
Medication used for symptomatic bradycardia?
Atropine
Valve infection most often involves which valve in the slides?
Mitral valve
BNP above what value supports HF ?
Greater than 400 pg/mL.
Normal QRS duration?
0.06-0.10 sec.
Three or more PVCs in a row with rate >100?
Ventricular tachycardia
Medication commonly used for SVT?
Adenosine
Mechanical valve replacement requires what long-term therapy?
Lifelong anticoagulation
Priority position for a dyspneic HF patient?
High-Fowler’s.
What does the P wave represent?
Atrial depolarization
Pulseless chaotic ventricular activity?
Ventricular fibrillation
Electrical therapy for VT with a pulse when symptomatic?
Synchronized cardioversion
Three main cardiomyopathy types?
Dilated, hypertrophic, restrictive
Weight gain that should be reported after discharge?
2 lb in 24 hr or 5 lb in 1 week.
What does ST elevation indicate?
Myocardial damage/injury.
Progressively longer PR intervals followed by a dropped QRS?
Second-degree AV block type I (Wenckebach).
Electrical therapy for VF or pulseless VT?
Defibrillation
HF complication with hypotension, JVD, muffled heart sounds?
Cardiac tamponade