Cardiac Pathways
Cardiac Alterations
Heart Failure and Hypertension
Meds! Meds! Meds!
PVD and PAD
100

The electrical pathway through the heart

What is SA node, AV node, Bundle of His and Purkenje fibers?

100

Factors that affect cardiac output

What is stroke volume and heart rate?

100

Modifiable vs non-modifiable risk factors for hypertension?

What is-

Modifiable: smoking, DM II, obesity, sedentary lifestyle

Non-modifiable: gender, age, genetics?

100
Potential complications of ACE inhibitor therapy

What is hyperkalemia, dry cough and angioedema?

100

Major risk factor for PAD/PVD

What is smoking?

200

Components of an EKG strip

What is P wave (atrial depolarization), QRS complex (ventricular depolarization), and T wave (repolarization)?

200

Management of bradycardia

What is-

Stable? Assess patient and causes

Unstable? Atropine and transcutaneous pacing

200
Blood pressure goal for someone with hypertension

What is < 130/80?

200

Nitroglycerin side effects

What is hypotension and headache?

200

Foot care for peripheral vascular disease

What is inspecting feet daily and keeping feet clean and dry?
300

The process by which blood is ejected into circulation

What is systole?
300

Labs contributing to atherosclerosis

What is HDL < 50, Triglycerides > 150, LDL > 100 or Cholesterol >200?

300

Signs/symptoms of left sided vs right sided heart failure

What is-

left: crackles, shortness of breath

right: edema, bounding pulses, splenomegaly?

300

Side effects of loop diuretics

What is hypokalemia and hypotension?

300

Differences in wounds between PAD and PVD

What is-

PVD: moist and pink/red

PAD: dry and gangrenous?

400

Considerations for cardiac catherization

What is used for assessing openness of coronary arteries and nurses need to assess neurovascular status frequently after procedure?

400

Concerns related to atrial fibrillation

What is DVT, PE and stroke?
400

Primary vs secondary hypertension

What is-

Primary: no specific cause

Secondary: can be attributed to another factor like medications or chronic kidney disease?

400

Anticipated effects of beta blockers

What is a decrease in both blood pressure and heart rate?

400

Considerations for compression stockings

What is wearing daily during the day and off at night and applying evenly without bunching up?

500

Explain depolarization vs repolarization

What is-

Depolarization: electrical activation, K+ leaves cell

Repolarization: relaxation, where K+ moves back into cell

500

Defining stable vs unstable patient

What is altered level of consciousness and hypotension?
500

Foods to avoid for heart failure

What are high sodium soups, processed foods, cheeses and deli meats?

500

Biggest concern with cardiac medications?

What is SAFETY? Falls due to drop in blood pressure.
500

Interventions for PVD vs PAD

What is high calorie diet for wound healing, good foot care, elevate legs (PVD) and dangle legs (PAD)?