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Mark Klimek
Yellow Book - Unit 3 - Cardiac/Chest Tubes/Infection Precautions
| Question | Answer |
|---|---|
| Calcium channel blockers are like ___ for your heart. What does that mean? | Valium It relaxes the heart |
| Calcium Channel Blockers: Inotropoic, chronotropic, dromotropic | Negative |
| Inotropic | Strenght of the heart |
| Positive Inotropic | Strong heartbeat |
| Negative Inotropic | Weak heartbeat |
| Chronotropic | Rate of heartbeat |
| Positive Chronotropic | Fast heartbeat |
| Dromotropic | Conductivity of heart |
| Positive Dromotropic | Excitable heart |
| Negative Dromotropic | Blocks/slows conduction |
| Positive Inotropic, Chronotropic, and Dromotropic is seen with which medications? | atropine epinephrine norepinephrine |
| Negative Inotropic, Chronotropic, and Dromotropic is seen with which medications? | Calcium Channel Blockers Beta Blockers |
| What do Calcium Channel Blockers treat? (indications) | Antihypertensives (decrease BP) Anti Angina (imbalance between O2 supply and demand) Anti Atrial Arrhythmic (Atrial Flutter and Atrial Fibrillation) |
| What are some side effects of Calcium Channel Blockers? | Headache Hypotension |
| Names of Calcium Channel Blockers can be remembered by saying ... | I sop zem dipine in the Calcium Channel ("zem", "dipine", "verapamil/isoptin") |
| QRS depolarization always refers to | Ventricular (not atrial, junctional or nodal) |
| P wave refers to | Atrial |
| Asystole | a lack of QRS depolarizations (flat line) |
| Atrial Fibrillation | chaotic P-wave depolarizations |
| Ventricular Tachycardia | wide bizarre QRS's |
| Premature Ventricular Contractions (PVC) | Periodic wide, bizarre QRS's |
| Be concerned about PVC's if: | More than 6 per minute 6 in a row PVC falls on T-wave of previous beat |
| What are the lethal arrhythmias? | asytole ventricular fibrillation |
| What is the potentially life-threatening arrhythmias? | v-tach a-fib a-flutter |
| When dealing with an IV push drug if you don't know go ___ except with | slow adenocard (adenosine) |
| What is the treatment for PVC's? | lidocaine amiodarone |
| What is the treatment for V Tach? | lidocaine amiodarone |
| What are the treatments for supraventricular arrhythmias? | ABCD Adenocard/adenosine Betablocker (end in lol) Calcium Channel Blocker Digitalis/Digoxin (lanoxin) |
| What is the treatment for V-fib? | D-fib |
| What is the treatment for Asystole? | Give epi first then give atropine |
| Know what strip looks like for Asystole | Straight line |
| Know what strip looks like for atrial fibrillation | |
| Know what strip looks like for atrial flutter | |
| Know what strip looks like for normal sinus rhythm | |
| Know what strip looks like for supraventricular tachycardia | |
| Know what strip looks like for ventricular fibrillation | |
| The purpose for chest tubes is to re-establish ___ pressure in the pleural space | negative |
| In the pneumothorax, the chest tube removes ___ | air |
| In the hemothorax, the chest tube removes ___ | blood |
| In the pneumohemothorax, the chest tube removes ___ and ___ | air and blood |
| When the chest tube is ___ (___) for ___. aka ___ | Apical (high) for air aka apex |
| When the chest tube is ___ (___) for ___ aka ___ | Basilar (low) for blood aka base (bottom of lung) |
| How many chest tubes and where for unilateral pneumohemothorax? | 2 apical and basilar on side of pneumo |
| How many chest tubes and where for bilateral pneumothorax? | 2 apical for both |
| How many chest tubes and where for post-op chest surgery/chest trauma? | assume unilateral pneumohemothorax - 2 apical and basilar on side of pneumo |
| In routine ___ clamp chest tube. In emergency ___ the chest tube. | Never Clamp |
| What do you do if the water seal breaks? | First - clamp it, cut tube away from device Best - submerge the tube under water, then unclamp |
| What do you do if the chest tube comes out? | First - cover with a gloved hand Best - cover the hole with vaseline guaze, put a dry sterile dressing on top, tape three sides |
| If there's bubbling in the water seal intermittently it is ... | good |
| If there's bubbling in the water seal and it's continuous it is ... | bad |
| If there's bubbling in the suction control chamber intermittently it is ... | bad |
| If there's bubbling in the suction control chamber conntinously it is ... | good |
| Rules for clamping the tube: never clamp longer than ___ without Dr's order use ___ | 15 seconds ruber tipped double clamps |
| Every congenital heart defect is either ___ or ___ | TRouBLe No TRouBLe |
| R-L | Right to Left shunt |
| B | Blue |
| T | Starts with letter "T" |
| What are some examples of "TRouBLe" congenital heart defects? | Trunkus arteriosis Trans. position of great vessels Tetrology of Fallot Tricuspid stenosis TAPZ Left ventricular hypperplasmic syndrome |
| What ares some examples of "No TRouBLe" congenital heart defects? | Patent fore. ov. ventricular septal defect pulmonary stenosis |
| Akk CHD kids will have 2 things, whether TRouBLe or No TRouBLe ... | Murmurs Echocardiogram |
| Four defects present in Tetrology of Fallo are ... | VarieD PictureS Of A RancH Ventricular Defect Pulmonary Stenosis Overridding Aorta Right Hypertrophy |
Created by:
Blackbeltmom
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