Rhythms and Devices
What is the main difference between cardioversion and defibrillation?
Cardioversion shocks on the R wave
Adenosine. Patient must be on a zoll/cardiac monitor.
SOB, increased WOB, hypoxia, restless, confused, high HR and RR, paradoxical breathing, vitals
A patient is suspected to have PVD. What is the diagnostic test to confirm this?
Ankle brachial index, normal value is 1.
When suctioning an ETT or a trache what must you do first?
Hyper-oxygenate the patient.
Check their pulse.
These medications are used to decrease heart rate and blood pressure and you must get a blood pressure and heart rate before administering.
Beta blockers (-lol)
PEEP (positive end expiratory pressure) Keeps alveoli open.
A physician wants to place an A-line. What test do you perform to ensure the site is appropriate?
Allan's test. (For double the points, what does a positive allan's test mean?)
Breath sounds bilaterally, capnography, Xray
What is the treatment for pulseless Vtach or Vfib?
Begin CPR, follow with ACLS algorithm
ACEs and ARBs are used to treat what part of heart failure? (Hint: the answer is not high blood pressure, think more anatomically!)
Reduce preload and afterload.
Pulmonary embolism is a deadly disease. What are our main treatment options?
Anti-coagulation and IVC filter.
What equipment must be bedside after a CABG?
External defibrillator
Name the causes of a low pressure ventilator alarm.
A patient has a central venous pressure of 14. What part of the body does this device monitor and what does this value indicate?
Monitors fluid balance on the right side of the heart. The patient is hypervolemic or has right sided heart failure.
What is the use for digoxin and what are the normal levels?
SVT/high heart rate and heart failure. Normal levels are 0.6-1.2
You accidentally kick the chest tube container and IR didn't properly suture the chest tube and it becomes disconnected from the patient's body. What do you do?
Tape the site on three sides.
A patient has returned from a PCI. What is the key nursing care for this procedure?
Assess compression dressing patency, assess distal limb, assess for hematoma, thrombus and bleeding. Femoral site lays flat.
Name the causes of a high pressure ventilator alarm.
Biting, coughing, gagging, mucous plugging, right main stemming, vent desynchrony, pneumothorax
Your patient returns from a pacemaker placement. You get in report from the nurse that the pacemaker is set to ADT. What does this mean?
Atria is paced, dual chambers sensed, trigger mode
What are the differences between amiodarone and atropine?
Amiodarone: SVT
Atropine: unstable bradycardia
What are the three characteristics of ARDS?
Pulmonary edema, bilateral infiltrates, hypoxia unresponsive to O2
Your patient has right sided heart failure. How does this differ from left sided HF? Name three s/s of each!
Left: crackles, SOB, pulmonary edema, frothy sputum, pink sputum, poor peripheral perfusion
Right: JVD, high blood pressure, peripheral edema, increased weight
What is the VAP bundle?