ekg strips
strip #1, identify, causes, cm, tx
premature atrial contraction
stress, caffiene, hypoxia, e+, copd, cad, hyperthyroidsism
heart skips a beat, palpitaitons
withold sources of stimulation, beta blockers
adhf morphine
reduces preload/afterload
it dilates pulmonary and systemic blood vessels
pateint feels relief
strip # 6
pvs
unifocal/multifocal
premature ventricular contraction is premature occurence of a QRS complex.
postoperative care of a patient undergoing cabg surgery includes monitoring for which common complication?
atrial dysrhythmias-common first 3 days after
left sided hf results either from
inability of the left ventricle to empty adequately during the systole or fill adequately
strip #2, identify, causes, tx
atrial flutter, cad, pe, mitral valve disorder, htn, cor pulmonale, cmp basically UNHEALTHY heart, also digoxin, quinidine, epi
amiod, flecainide, dronedarone, warfarin to prevent stroke
cmp meds
a: ace
b: beta blockers
c: calcium channel blockers
d: digoxin
d: diuretics
strip # 7
torsades de pointes
magnesium sulfate
e+, drugs. mi, hypoglycemia
the nurse would assess a patient with reports of chest pain for which clinical manifestations associated with a myocardial infarction?
ashen skin, diaphoresis, n/v, s3/s4 heart sounds
hallmark of systolic failure is a decrease in the
EF
strip #3, identify, causes, tx
a fib, cad, hf, pericarditis, alc intoxication, stress, caffiene, e+
amiod, electrical cardioversion, anticoagulation, radiofrequency ablation
cad meds
statins, niacin, fibric acid derivatives
PSYCH!!!!
pulseless electrical activity causes
hypovolemia, hydrogen ions, hypoglycemia, hyper/hypo kalemia, hypoxia, hypothermia,
thrombosis, tension pneumo, tamponade, trauma, toxins
patient is being dismissed from the hospital after acute coronary syndrome and will be attending rehab. what info would b taught in the early phase of rehab?
activity level is gradually increased under cardiac rehabilitation team supervision and monitoring. early phase focuses on gradual increase in activity level. later recovery phase includes things like therapeutic lifestyle changes etc.
most COMMON cause of right sided hf include:
other causes include:
left sided hf
rv infarction, pe, cor pulmonale
strip #4, identify, causes, tx
asystole, no ventricular activity, unresponsive, pulseless, apneic
immediate cpr, acls measure (epi/vasopressin/intubation)
med for sinus tach AND pac
what are the steps for defibrillation and how does it work
the passage of an electric shock through the heart to depolarize the myocardial cells. the goal is that the following repolarization of heart cells will allow the SA node to resume the role of pacemaker.
1. start cpr while obtaining and setting up cpr
2. turn on and select energy
3. make sure sync button is off
4. apply gel pads
5. charge
6. position paddles firmly on the chest.
7. ensure all clear
8. deliver charge
the nurse is preparing to administer a nitroglycerin patch to a patient. When providing teaching about the use of the patch should the nurse include?
avoid drugs to treat ed. - they will kick bucket
compensated HF occurs when compensatory mechanisms
succeed in maintaining an adequate CO that is needed for tissue perfusion
strip #5 BONUS POINTS AVAILABLE
monomorphic v tach, polymorphic v tach
vt with pulse: antidysrhythmics
monomorphic: procainamide, amiod
prolonged baseline qt poly: iv mag, phnytoin
cardioversion if drug dont work
vt without a pulse is treated same as vfib
cpr and rapid defib
meds used for third degree heartblock
also is atropine effective?
dopamine, epi
NO
strip # 8
sinus bradycardia is normal. aerobically trained athletes and during sleep. it is response to parasympathetic nerve stimulation and certain drugs. hypothyrdoism, ICP, inferior mi
cm: hypotension, pale/cool, weakness, angina, dizziness, sob
the nurse observes ventricular tachycardia on the patient's monitor. what evaluation made by the nurse led to this interpretation.
rate of 200 beats/min, p wave not visible
clinical manifestations of acute decompensated heart failure
is it life threatening?
most commonly associated with
pulmonary edema
life threatening condition when the alveoli fill with fluid
left sided hf