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COMPLEX STUDY GUIDE
| Question | Answer |
|---|---|
| Pacemakers : Identifying a contraindication | -strong magnets (mri machine), cell phone close to device, notify airport security - prior to procedure: systemic infections, risk of bleeding, anatomical issue |
| ATROPINE: emergency nursing principles and management | Increases automaticity of the SA node and speed of conduction through AV node -TREATS: symptomatic bradycardia -given for less than 60bpm |
| teaching about atrial fibrillation | - take anticoags daily, as prescribe -dont skip doses -monitor for bleeding (soft toothbrushs, no black stools) -check pulse daily - signs of stroke |
| SVT: recognition and treatment | -narrow QRS -150bpm or greater TREAT: vagal maneuvers, adenosine (IV, given fast, reboots heart), Cardioversion (shock given to convert rhythm back to SA node) |
| Pain management for Angina | -stop activity/rest, nitroglycerin, take another nitro after 5mins and call 911 if pain does not stop. -main point is stop/activity and taking nitro |
| Pain management for Myocardial infarction | MONA (nonspecific order) Morphine: pain, anxiety relief; monitor for respiratory depression Oxygenation: Nasal cannula, even if not needed Nitro 5mcg, vasodilation Aspirin 325mg: prevention of platelet of aggregation |
| Pacemakers : Identifying a contraindication | -strong magnets (mri machine), cell phone close to device, notify airport security - prior to procedure: systemic infections, risk of bleeding, anatomical issue |
| ATROPINE: emergency nursing principles and management | Increases automaticity of the SA node and speed of conduction through AV node -TREATS: symptomatic bradycardia -given for less than 60bpm |
| teaching about atrial fibrillation | - take anticoags daily, as prescribe -dont skip doses -monitor for bleeding (soft toothbrushs, no black stools) -check pulse daily - signs of stroke |
| SVT: recognition and treatment | -narrow QRS -150bpm or greater TREAT: vagal maneuvers, adenosine (IV, given fast, reboots heart), Cardioversion (shock given to convert rhythm back to SA node) |
| Pain management for Angina | -stop activity/rest, nitroglycerin, take another nitro after 5mins and call 911 if pain does not stop. -main point is stop/activity and taking nitro |
| Pain management for Myocardial infarction | MONA (nonspecific order) Morphine: pain, anxiety relief; monitor for respiratory depression Oxygenation: Nasal cannula, even if not needed Nitro 5mcg, vasodilation Aspirin 325mg: prevention of platelet of aggregation |
| Lab Testing for MI | cardiac enzymes: myoglobin, troponin, CKMB troponin and myoglobin show up at same time, ckmb showing up last, troponin lasts the longest |
| Unstable angina vs Myocardial infarction | -unstable angina: chest pain with rest or activity, can be relieved with nitroglycerin -MI: crushing/squeezing midsternal chest pain, is NOT relieved with nitroglycerin |
| CABG complications | -fluid/electrolyte imbalances -atelectasis, pulmonary edema, pneumonia -dysrhythmias -hypotension AND hypertension -hypothermia -bleeding -cardiac tamponade -pain -infection |
| Administering digoxin consideration | -before admin: check HR, <60bpm notify provider -monitor for digoxin toxicity: fatigue, weakness, vision changes (green halo), GI effects (nausea/vom/diarrhea) -monitor digoxin levels |
| hemodynamic shock: Compensatory stage cues | -MAP drops by 10-15mmg -RAAS and urine output decreases -MILD acidosis -s/s: restlessness, irritability, increased HR & RR, narrowing pulse pressure, decreased O2, cool extremities, mild hyperkalemia -thirst/anxiety subjective changes |
| Evaluating therapeutic effect of Dopamine | - increased BP -increased urine output -increased cardiac output -increased peripheral perfusion -improved mental status (if poor cerebral perfusion) |
| Treatment of hypovolemic shock | - Rapid infusion of fluids and blood products to restore intravascular volume |
| Identify manifestations of sepsis | - body temp >38 or <36 -tachycardia >90bpm -tachypnea >20breaths/min -leukocyte count (WBC) >12,000 or <4,000 |
| Septic Shock: priority nursing actions | -Start fluids -obtain blood cultures -initiate broad spectrum antibiotics **IF AIRWAY is a factor THAT would come FIRST) |
| Hemodynamic Shock: Disseminated intravascular coagulation | ASSESS: overt bleeding/oozing, occult blood, abdominal distention, signs of platelet deficiency (petechiae, ecchymosis) TREAT: Heparin, Blood products MANAGE: prevent/correct cause, monitor perfusion status and lab analysis, admin blood, admin heparin |
Created by:
Katelynsw27