Heart
V-tach, pulse signs of decreased CO.. next step?
Oxygen
Antidysrhythmic
Prepare for cardioversion
What is a major risk with Afib?
Clot
Leading to stroke
Interventions for V-fib?
DEFIB
Signs of MI?
N/V
Diaphoresis
Dyspnea
Impending doom
SOB
Dizziness
Fatigue
If a patient shows ST elevation on ECG then what is the next step?
Cardiac cath lab
Assesment for V-tach?
BP
Pulse
Non-surgical interventions with Afib?
Anticoagulants
Antidysrhythmic
ECG testing
Signs of Abdominal Aortic Aneurysm?
Can be asymptomatic
Abdominal, flank or back pain
Pulsation in upper abdomen
Where is the pain with MI?
Pain/ pressure radiating to left arm, jaw, back or abdomen
Admitted with NSTEMI to cardiac unit
Try to treat with meds
What are the causes of v-tach?
MI
Heart failure
Drug toxicity
Heart disease
Afib symptoms for less than 48 hours what is the treatment?
Cardioversion
What are the signs of rupture?
Severe sudden pain in back, low abdomen
Pain radiates to groin, buttocks, legs
hypotension
diaphoresis
Decreased LOC
Loss of pulses distal to rupture
Oliguria
Lasts longer than 30 minutes
If a patient doesn't show ST elevation on ECG and doesn't have positive troponin but is still showing cardiac signs what is next step?
Serial ekgs and troponin to look for changes
Stress test if those a negative
Common causes of A-Fib?
Hypertension
Heart failure
CAD
Genetic mutations
MI
Miral valve disease
Afib symptoms longer than 48 hours?
Rate control
Antidysrhythmic
What are non-surgical interventions for abdominal aortic aneurysm?
Monitor growth
Maintain normal BP
Frequent imaging
What will the nurse do for a patient showing symptoms of an MI?
Check ABC's
12 lead
IV access
Draw labs and troponin
What do you want to monitor for post op PCI, If any of these occur what do you do next?
Chest pain
ST elevation
Bleeding at insertion site
Reaction to contrast
Hypotension
Hypokalemia
Dysrhythmias
***Call provider
Signs of A-fib?
Irregular HR
Signs of poor perfusion
Anxiety
Tachycardia
Dizziness
SOB
What do when you find a patient with no pulse?
Start CPR
Call help, get cart
Attach defib- see if shockable
What are the surgical interventions for abdominal aortic aneurysm?
Emergency surgery if ruptured
Endovascular stent grafts
What are the pharm interventions with MI?
Nitroglycerin
Aspirin
Beta Blockers
Ace inhibitors
What mediations with the patient be sent home with who had PCI?
Two antiplatelet