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Med Surg

QuestionAnswer
What on a EKG strip would reveal myocardial ischemia? Elevated ST segment
What kind of drug is Alteplase? And how soon must it be administered after onset of MI? Thrombolytic and Within six hours
Which medication is given to clients who are diagnosed with angina but are allergic to aspirin? Clopidogrel
What kind of drugs are amlodipine, diltiazem, and felodipine? Calcium channel blocker’s
What is the biomarker test it for a myocardial infarction? And how long does it remain elevated? Troponin and two weeks
What condition is seen in metabolic syndrome? Insulin Resistance, abdominal obesity, dyslipidemia, hypertension, pro inflammatory state, and pro thrombotic state
What kind of treatment is given for a venous stasis ulcer and Has a chronic nonhealing skin lesion? Topical hyperbaric oxygen therapy
What is an Important thing to do in management of a client while preparing for an angioplasty? Withhold anticoagulant therapy to decrease the chance of hemorrhage
What does morphine do for a patient with severe chest pain? Morphine sulfate decreases pain perception and Exide he which would also decrease heart rate, blood pressure, and oxygen demand.
What are the actions of a calcium channel blocker and the effects on ischemic myocardium? They decrease the SA node automaticity, AV node conduction, resulting in a slow her heart rate and decrease in strength of mile cardio contraction
What indicator is present for a patient to have a coronary artery bypass graft? The patient has to at least have 70% occlusion of a major coronary artery.
What is arteriosclerosis? Hardening of the arteries
What is cardiogenic shock? Occurs when decreased CEO leads to in adequate tissue perfusion and initiation of the shock syndrome
What are signs and symptoms of cardiogenic shock? Decrease blood pressure increased heart rate decreased respiratory rate, Cold and clammy skin, decreased urine output it, confusion
What is a classic symptom of coronary artery disease? Chest pain that is sudden onset or discomfort during activity or stress
What is a electron beam computed tomography? This test is to detect and quantify calcified plaque in the coronary arteries even before symptoms arise it is noninvasive and provides clear images with less exposure to radiation.
Myoglobin Is elevated when a patient is suggestive of having an acute myocardial infarction and is a biomarker that rises in 2 to 3 hours after heart damage
Percutaneous transluminal coronary angioplasty To be effective it has to be performed 60 minutes beginning with arrival at the emergency department after diagnoses of A MI, also known as door to balloon time
What medication can neutralize the unfractionated heparin a client has received? Protamine sulfate is known as the antagonist for an fractionized heparin
Aortic Stenosis indicates left ventricular failure, what are the signs and symptoms "DOP", dyspnea, orthopnea, pulmonary edema
what can pericarditis lead to? cardiac tamponade, heart failure, pericardial effusion
Autograft valve replacement surgery patient uses their own valve to replace the one needed and beneficial because anticoagulation is not needed due to it being their own tissue and not thrombogenic
echocardiography for infectious and inflammatory cardiac disorders pericardial effusion, pericarditis, cardiac tamponade, and heart failure because it can detect the excess fluid accumulated.
The right atrium receives __________ blood from the body via superior vena cava and inferior vena cava. Deoxygenated
The right ventricle receives blood from the right atrium and pumps it to the lungs via the _______ artery. Pulmonary
The left atrium receives _________ blood from the lungs via 4 pulmonary veins. Oxygenated
The left ventricle is the __________ and most muscular chamber. Largest
The left ventricle receives oxygenated blood from the lungs via the left atrium and pumps blood into the systemic circulation via the _________. Aorta
The AV valves close at the beginning of _________ contraction and prevent blood from flowing back into the atria from the ventricles; the valves open when the ventricles relax. Ventricular
The semilunar valves prevent blood from flowing back into the ventricles during _________; they open during ventricular contraction and close when the ventricles begin to relax. Relaxation
Main pacemaker that initiates each heartbeat; generates electrical impulses at 60-100 bpm. SA node
receives electrical impulses from SA node; if SA node fails, this node can initiate and sustain a heart rate of 40-60 bpm. AV node
S3 third heart sound which are heard if ventricular wall compliance is decreased; but maybe normal in 30 years of ago or younger. Heard with Heart Failure, or Valvular Regurgitation
S4 fourth heart sound that is heard on atrial systole if resistance to ventricular filling is present; Heard with cardiac hypertrophy, disease, or injury to he ventricular wall.
Created by: Mixdiaz