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
CEN Review
| Question | Answer |
|---|---|
| A pt c/o dizziness, weak x 1 wk, fainting this am. VS BP 174/92, HR 34, RR 18, T 98.4. Priority intervention? | Administer oxygen via nrb to maintain adequate oxygenation. risk for falling r/t dizziness, risk of cardiovascular collapse r/t bradycardia. |
| PQRST for cp assessment | Provokes, Palliates, Quality, Radiation, Severity, Time |
| Assessment used to in diagnosis with c/o sudden onset of tearing cp | Obtain bp in BUE to diagnose aortic dissection, LUE of 20 or > than RUE because of turbulent flow thru aorta during systole; may also auscultate a sytolic or diastolic murmur |
| Ischemic changes noted on R side ekg, lead V4R indicates what | R ventricular ischemia or infarct |
| pedal edema is suggestive of what | heart failure or peripheral vascular disease |
| pericardial friction rub may be auscultated in a pt with what | pericarditis |
| NSR with ST elevation in V2-V4 indicates injury in what part of heart? | anterior |
| Lateral MI exhibits changes in what leads | V1-4 |
| Posterior MI exhibits changes in what leads | reciprocal changes in leads V1-V2 |
| Inferior MI exhibits changes in what leads | II, III, AVF |
| Wellens syndrome | Cardiac syndrome with ekg lacking q waves and significant st elevation. associated with critical, proximal LD artery stenosis; T wave changes plus hx of angina without serum marker abnormalities |
| Wolff-Parkinson-White syndrome | An extra electrical conduction path in the heart causing electrical signal to arrive at the ventricle early, presents with tachycardia |
| Ludwig's angina | results from secondary dental infection, can lead to airway problems, no ekg changes |
| Primary goal of acute coronary syndrome therapy | identification of criteria for early reperfusion therapy to open occluded artery with a drug or mechanical means, reperfusion may prevent VF and pulseless VT |
| most common cause of acute coronary syndrome | unstable plaques |
| pt with stemi becomes bradycardic at HR 41, bp 60/38, skin is cool, pale, moist, after airway and ventilation, anticipate order for? | transcutaneous pacemaker |
| Preferred tx for symptomatic bradycardia | transcutaneous pacemaker |
| why should atropine be used with caution in acute MI? | increase in heart rate may worsen ischemia |
| pt with ICD becomes unresponsive with wide complex tachycardia, after beginning cpr, whats next? | proceed with external defibrillation |
| What lab value supports diagnosis of chf? | BNP becomes elevated in response to ventricular volume expansion |
| what increased level indicates myocardial damage | troponin and ck |
| pt with afib at 120 HR, other vs wnl. what is the initial tx goal? | rate control with medication |
| how to determine if pacemaker battery needs changes | pacemaker has asynchronous rate for beginning of life, elective replacement indicator, and end of life. application of a magnet will put the paeemaker into a fixed rate to determine if battery needs replaced |
Created by:
shannasatx
Popular Nursing sets