Help
Options
Didn't know it?
click below
click below
Knew it?
click below
click below
Don't Know
Remaining cards (0)
Know
retry
shuffle
restart
0:00
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
N126-U3-I. MI/CHF #3
Dobrisky-Cardiac Module: potential complications
| Question | Answer |
|---|---|
| Which dysrhythmia is most common? | Premature ventricular contractions |
| What do PVCs cause? | electrical instability in the heart |
| Which dysrhythmias could be lethal? | Asystole & ventricular tachycardia |
| Why is asystole lethal? | no heart beat |
| Why is Ventricular tachycardia lethal? | can lead to ventricular fibrillation |
| Why is Ventricular fibrillation lethal? | no effective cardiac perfusion |
| why does CHF occur after some MIs? | Mi causes muscle damage and the heart is no longer able to pump sufficiently |
| Patients with pump failure, hypovolemia, arrhythmias and pain are at greatest risk for what condition? | cardiogenic shock |
| Anxiety, fear, weakness, dyspnea, shortness of breath, drop in BP, increased central venous pressure, mental confusion, decreased UO, pallor and cyanosis all are symptoms of what? | cardiogenic shock |
| A patient exhibiting mental confusion, decreased UO, shortness of breath and fear may be experiencing what condition? | cardiogenic shock |
| What conditions within shock should be treated? | pump failure, hypovolemia, arrhythmias and pain |
| How do you treat pump failure associated with shock? | cardiac glycosides, cardiotonics, sympathomimetics |
| Cardiac glycosides are used to treat what part of shock? | pump failure |
| Cardiotonics are used to treat what part of shock? | pump failure |
| sympathomimetics are used to treat what part of shock? | pump failure |
| Fluids are given to treat what condition contributing to shock? | hypovolemia |
| Drugs, cardioversion and CPR are used to treat what condition associated with shock? | arrhythmias |
| Analgesics are given to treat what condition associated with shock? | pain |
| Why is the MI patient at risk for pulmonary embolism (PE)? | a thrombus in the heart could travel to the lungs |
| Development of a DVT post MI could turn into... | PE |
| How should PE be viewed? | as an emergency |
| How should PE be treated? | oxygen and anticoagulation |
| How can PE be prevented? | rapid response to an MI and treatment with anticoagulation |
| Some patients develop chronic congestive heart failures as a result of what three conditions? | longstanding HTN, CAd or after acute MI |
| How is chronic heart failure treated? | oral drugs, diet and exercise |
| What is systolic failure? | diminished output of blood from the ventricles |
| Diminished output of blood from the ventricles is called what? | systolic failure |
| Stiffened ventricles that do not allow adequate myocardial filling is called? | diastolic failure |
| Diastolic failure is associated with a problem in output or filling? | filling |
| Systolic failure is associated with a problem in output or filling? | output |
| Stretching and lengthening of the myocardial muscle is referred to as | ventricular dilation |
| A result of the myocardium working against increased preload and afterload is | ventricular hypertrophy |
| Tachycardia, ventricular dilation and ventricular hypertrophy are all considered to be | cardiac compensatory mechanisms |
| List 3 body systems that help with homeostatic compensation | Vascular system, kidneys, liver |
| How does the vascular system help with homeostatic compensation? | SNS releases epinephrine resulting in vasoconstriction |
| How do the kidneys help with homeostatic compensation? | vasoconstriction and low CO decrease the kidney perfusion |
| How does the Liver help with homeostatic compensation? | venous blood volume increases resulting in congestion of the liver and decrease in liver function. |
Created by:
Lori Dobrisky
Popular Nursing sets