EKG
Meds
Calculations
Shock
Procedures
100

What do you call a rhythm that includes more than 3 runs of PVCs?

Vtach

100

Name at least two nursing interventions when administering vasopression 

use a central line!!

monitor B/P

I & O

Weights

Na+ & K+

Vitals, advanced monitoring 

100

The patients stroke volume is 0.058 and heart rate is 88bpm.  What is their cardiac output?

5.104

100

Which lab is the best indicator of shock?

Lactic Acid

100

The patient has an under-dampened wave form on their arterial line monitor.  What could be the cause of this?

stiff tubing

long tubing

hypothermia

tachycardia/dysrhythmias 

200

Name at least 2 causes of PSVT

•Can occur in health individuals without heart disease

•Stimulants, Catecholamines

•Electrolyte Abnormalities

•Heart Disease

200

Name 2 signs of digoxin toxicity

Headache, dizziness, fatigue, confusion, acute psychosis, bradycardia, SA/AV block, blurred vision, yellow tinge, halos, nausea, vomiting & anorexia (check lab values)

200

The patients CO is 5.6 and their BSA is 2.27.  What is their cardiac index?

CO/BSA

2.46


200

Name two things that happen in the compensatory stage

increased blood sugar

vascular shunting

decreased perfusion

sodium and water retention

increased HR

etc. 

200

The patient is 24 hours post CABG and develops a fever and has low urine output.  What would be priority for the nurse to obtain?

blood cultures

300

The patient is experiencing symptomatic bradycardia.  Name 1 medication that could be given.

Atropine

300

Name two medications that the nurse would anticipate administering for cardiogenic shock

nitroglycerin 

Dopamine

Dobutamine

Norepinephrine-VERY low dose if used

fluids

diuretics

300

The patients blood pressure is 99/64.  What is their MAP?

SBP + (2)DBP / 3

75.66

300

The patient with obstructive shock has an elevated d-dimer.  Why would this lab value be elevated?

Physical impairment that leads to inadequate circulatory blood flow

Causes; Cardiac Tamponade, Trauma, pericarditis, autoimmune, post heart surgery, PE, Tension Pneumothorax

300

Name at least 2 nursing interventions post cardiac cath with a femoral access

neurovascular checks

patient positioning/bed rest

push IVF

400

What is the noticeable abnormality with a junctional rhythm?

P Waves: inverted, absent, or right after QRS complex

Typically bradycardia 

400

Name a medication that would be considered for administration in response to Vtach 

•Medications: Amiodarone, Lidocaine (both are anti-arrhythmics) 

400

What is the normal QRS interval?

•QRS: 0.06-0.10, Book <0.12 seconds

400

The patient with a C4 spinal cord injury is experiencing hypotension, bradycardia, and tachypnea.  What are they most likely experiencing?

Neurogenic shock

400

Which labs should be assessed prior to a cardiac cath?

BUN/CR

clotting factors 

Troponin 

500

Name 1 possible intervention for sustained PSVT

•May be abated using: Vagal Maneuvers (first if stable)

•Heart Rate >150 and symptomatic: Emergent Cardioversion

•Medications: Adenosine (2nd/unstable)

500

Which 2 electrolyte imbalances could lead to torsades dysrhytmia?

Magnesium or Potassium abnormalities

500

What length of sinus pause is concerning?

•2 or <2 second Pauses are normal especially when sleeping and infrequent

•>2 seconds is NOT normal, especially if it frequently occurs

500

The patient has noticeable mottling, change in LOC and oozing is noted from their central line site.  What stage of shock are they in and which organ is involved related to these cues.

refractory

liver

500

The patient is placed on a heparin drip prior to their cardiac cath.  What lab is most important for the nurse to monitor?

PTT