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Cardiac events
Cardiac meds, EKG, Events
| Question | Answer |
|---|---|
| Ventricular Septal Defect | Loud harsh murmor, trill, too much blood to body |
| Atrial Septal Defect | hard systolic murmor, most close on own, |
| P-wave | Atrial Contraction, depolarization, .12-.20 sec. |
| QRS | ventricular depolarization 0.04-0.10 sec. |
| Coarctation of the Aorta | narrowing obstruction of blood flow, vertigo, nosebleeds, poor lower extremity blood flow |
| Tetralogy of fallot | set of 4 problems, enlarged right ventricle, ventricular hypertrophy, overriding aorta, pulmonic stenosis |
| Left Heart Failure - signs | dyspenia & crackles, tacky cardia, tachypenia, fatigue |
| Right Heart Failure - signs | perorbital edema, tachycardia, enlarged liver, ascites, weight gain, edema |
| T-wave represents | ventricular repolarization |
| T-wave variations | electrolyte imbalances |
| No S-T plateau phase indicates what? | indicates infarct |
| Normal Sinus Rythm | PR=normal, QRS=normal, Rate 60-99, Rythem regular |
| Sinus Tachycardia | PR =normal, QRS=normal, rate 100-180, rythem is regular |
| Sinus Bradycardia | PR interval is normal, QRS=normal, Rate less than 60, Regular rythem |
| A-fib | p wave absent, ventrical rate is 100-180, irregular rythem |
| PVC | No P wave, QRS early bizzare, irregular pulse |
| V-Tach | no p-wave, Bizzare apearanceQRS, Rapid rate 100-200 |
| V-fib | no p, no QRS, quivering muscle, CO = 0 |
| Drug for BradyCardia | Atropine |
| A-fib Cause | Blood Clots, Strokes |
| PVC drug of choice | Lidocaine (calms ventricles) |
| A-Fib more cause | High Thyroid, Mitral Valve disease |
| Sinus Bradycardia -cause | Hypothyroid, athletes |
| Most Dangerouse Rythem | Ventricular Tachycardia |
| Most Frequent Cause of Death | Ventricular Fibrillation |
| Arrythmias Cause | Ischemic and infacted tissues |
| Pacemake failure - ss | "sick sinus symdrom" dizzy, |
| Heart disease Risk factors | smoking, increase BP & Cholesterol, Overweight, inactivity, diabetes, family History, age 55 + |
| Women Heart Attack signs | Chest pressure, GI symptoms |
| Right Side Valves | Tricuspid, Pulmonic |
| Left side Valves | Mitral, Aortic |
| Atropine | Anticholenargic, Bradycardia |
| Adenosine | Amino Acid/Chemical Defibulator, SVTach, Thallium stress test |
| Diltiazem | Calcium Channel Blocker/ A fib, SVTach |
| Digoxin | Cardiac Glycoside, CHF, AFib, AFlutter, Cardiogenic Shock, |
| Epiniphrine | Cardiac Arrest, V-Fib, V tach, asystole, profound bradycardia or hypotension |
| Amiodarone | Potassium Channel Blocker, vtack, svtach, A-fib, V-fib |
| Lidocaine | Sodium Channel Blocker, PVC's Post MI, V tach, dysrythmias during surgery, MI, Dig. Tox, Cardiac Cath. |
| Drugs to treat BradyCardia | Atropine, Epinephrine (profound BC) |
| Drugs to treat SVTACH | adenosine, Amiodarone, Diltiazem |
| Drugs to treat VTACH | Amioderone, Lidocaine, Epinephrine, |
| Drugs to treat Asystole | Atropine, Epinephrine |
| Drugs to Treat A-fib | Amioderone, /diltiazem, Digoxin |
| Drugs to treat V-fib | amioderone |
| Atropine - action | blocks vagal impulses, decreases AV conduction time, increase heart rate and CO |
| Adenosine - action | slows conduction through AV node |
| Diltiazem - Action | Blocks Calcium flow, decrease HR and conduction through SA and AV node. |
| Digoxin- Action | Increases force and volocity of Ventricualr contraction, decreases HR, AV conduction speed. |
| Epinephrine- Action | Cardiac Stimulant, works on Bet recoptors. Increase O2, increse force of contraction, inrease rate and output |
| Amidarone-Action | Reduces heart rate and slows speed of conduction of SA node |
| Lidocaine - Action | Acts of Sodium channle, surpresses arythmias, |
| Platelet Inhibitors | Inhibbit factors necessary for platelet aggregation |
| Beta blockers | decrease HR, Contractility and speed of impulse conduction |
| Hytrin | decreases BP by dilating Blood vessle |
| Clonidine | approved for Hypertension |
| Captopril | Monitpr 1st dose for hypotension |
| Norvasc | usefule in pt. with DM,asthma and migranes |
| Cardizem | Ca+ Channel blocker that effects HR |
| Adalat | Ca+ channel blocker that effects BP |
| Digoxin | tell pt. to report Irregular HR,visual disturbances,fatigue, N/V |
| Lopressor | cardioselective Beta Blocker |