Assessment
a constellation of signs and symptoms due to the rupture of atherosclerotic plaque and resultant partial or complete thrombosis within a diseased coronary artery
What is ACS? or What is Acute Coronary Syndrome?
Medication given for symptomatic bradycardia; usual dosage 0.5mg IV push over 3-5 mins.
What is atropine?
rhythm occurs when the electrical impulse starts at a regular rate and rhythm in the SA node and travels through the normal conduction pathway
What is normal sinus rhythm?
the inability of the left ventricle of the heart to fill and pump sufficiently; term used to define a type of heart failure (synonym: Heart Failure with preserved Ejection Fraction [HFpEF])
What is diastolic heart failure?
The test that assess the patient’s ventricular rate in response to exercise.
What is the six minute walk test?
degree of stretch of the cardiac muscle fibers at the end of diastole
What is preload?
Initial medication to treat significantly elevated cholesterol & LDLs; contraindicated in liver disease.
What is HMG-CoA Reductase Inhibitors (Statins)?
occurs when the sinus node creates an impulse at a faster-than-normal rate
What is sinus tachycardia?
diminished urine output; less than 0.5 mL/kg/h over at least 6 hours, or less than 400 mL in 24 hours
What is oliguria?
Assesses the patient’s understanding of HF, self-care management strategies, and the patient’s ability and willingness to adhere to those strategies.
What is obtaining patient’s health history?
period of ventricular contraction resulting in ejection of blood from the ventricles into the pulmonary artery and aorta
What is systole?
Potent vasodilator that improves blood flow to the heart muscle and relieves pain
What is nitroglycerin?
A rhythm resulting from abnormal impulse formation that occurs when structural or electrophysiologic abnormalities alter the atrial tissue causing a rapid, disorganized, and uncoordinated twitching of the atrial musculature
What is afibrillation?
inability of the heart to pump sufficiently because of an alteration in the ability of the heart to contract; term used to describe a type of heart failure (synonym: Heart Failure with reduced Ejection Fraction [HFrEF])
What is systolic heart failure?
Patient has hypokalemia, nausea, visual disturbances, confusion, and bradycardia.
What is recognizing signs of digoxin toxicity?
ratio of the ankle systolic pressure to the brachial systolic pressure; an objective measurement of arterial disease that provides quantification of the degree of stenosis
What is ankle-brachial index?
inhibit sodium and chloride reabsorption mainly in the ascending loop of Henle
What is a loop diuretic?
A rhythm described as three or more PVCs in a row, occurring at a rate exceeding 100 bpm
What is Vtach?
pulmonary congestion results in dyspnea, cough, pulmonary crackles, and low oxygen saturation levels
What are the clinical manifestations of left sided heart failure?
The first line intervention to treating a patient in ventricular fibrillation
What is defibrillation?
percentage of the end-diastolic blood volume ejected from the ventricle with each heartbeat
What is ejection fraction?
Class II anti arrhythmic, Decreases automaticity and conduction, Treats atrial and ventricular arrhythmias
What is a beta blocker?
recognizable by rapid, disorganized ventricular rhythm that causes ineffective quivering of the ventricles.
What is vfib?
Key diagnostic indicator of HF; levels are best used for diagnostic purposes when there is a baseline measurement and a measurement obtained at the time of treatment (e.g., hospital discharge) to help in determining a posttreatment prognosis
What is BNP?
Observing the catheter access site for bleeding or hematoma formation and assessing peripheral pulses in the affected extremity (dorsalis pedis and posterior tibial pulses in the lower extremity, radial pulse in the upper extremity) every 15 minutes for 1 hour, every 30 minutes for 1 hour, and hourly for 4 hours or until discharge. BP and heart rate are also assessed during these same time intervals.
What is post procedure care for cardiac cath or PCI?