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Cardio

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Question
Answer
What are the two shockable rhythms?   Vtach (no pulse), Vfib  
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What does no p waves means?   Atrial fibrillation  
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What does a P wave represent   Atrial Depolization,  
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What part of the sinus rhythm represents a ventricular depolarization   (QRS)  
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Which rhythms do you defibrillate?   Vtach (no pulse), Vfib  
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What medication would patient be on if they have STEMI   Heparin  
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Major complication of a fib   Stroke  
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A blood thinner. Given IV if pt’s waiting for Cardiac Cath.   Heparin  
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Medication used when person has chest pain   Nitro -- MONA  
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What category of drug is ASA?   Anti-platelet  
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For diabetics (protection) and renal failure. Side effect is Cough. Push over 2 mins.   Ace inhbitors – (prils)  
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lowers HR, NO for asthmatics and bradycardics   Beta-Blockers – (olol)  
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bella donna, beautiful women. Increases HR. (T for Tachy)   Atropine  
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Stops the heart (d for die)   Adenosine  
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How do you treat pernicious anemia?   – B12 (nasal, subq, or IV)  
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What type of anemia requires iron supplements, causes constipation (stool softeners, and stools will be blk)   Iron deficiency anemia-  
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Precaution for neutropenic (leukemia) –   check temp Q4hrs, high white blood cell count, functionally neutropenia,leukopenia,  
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What should be done if Neutropenic (leukemia)patient spikes a fever?   Antibiotics need to be given w/in 1 hour.  
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Who gets Neutropenic (leukemia)?   Cancer pts, can’t fight infection, immunocompromised  
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If you see a HIT patient with platelets dropping what would you do?   Stop heparin, look at #3 on EXAM SHEET  
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Hemophilia (teaching) lack factors and correcting factor loss by   giving factors Von Willenbrands = Factor 10  
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When do we give platelets?   Below 10  
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Hemoglobin (Blood)   below 7.  
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Mylodyplasia and multipl myloma (hypercalcimia) should avoid   contact sports  
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How long should you monitor a transfusion and if a patient gets a fever during the transfusion what should be done   15mins, stop if fever  
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Pacing (pacer pads) is for   bradycardia or 3rd degree block  
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Defibrillation is done on   Vtach or Vfib(worst).  
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Vtach you   Cardiovert(Cardiac Trump) to RESET.  
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PR interval are ( shortened or lengthened)in 1st degree block, block from SA node to AV node?   lengthened, asymptomatic (not emergent)  
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2nd (mobits 2) and 3rd degree block require a   Pacemaker  
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Pt w/ block should be   hooked up to monitor with pacer pads.  
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Used to be the big mortality risk w/rheumatic fever. S/S – low grade fever, weakness, malaise, fatigue, myalgia, splinter hemorrhages, janeway’s lesions, roth’s spots, MURMUR   Endocarditis (Inflammatory disorder) – #13, 41, 45 on EXAM SHEET  
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Rt sided HF S/S   JDV, peripheral edema, weight gain, ascites, Enlarged Liver & Spleen  
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Lt sided HF S/S   Pulmonary (crackles, pink frothy sputum), Tachypnea/cardiac, Paroxysmal Nocturnal Dypnea  
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Teaching w/ HF   Cold-Wet person is the worst (AMS, decreased O2, shock)5lbs in a week or 2lbs in a day. DAILY WEIGHT, DASH DIET, DON’T GIVE BETA-BLOCKERS!Compliance w/meds, esp Lasix, which can cause hypokalemia; take at night. Maintain skin integrity  
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CAD is caused by:   atherosclerosis (hardened arteries)  
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Angina Risks:   a. Chronic Stable – Ie: mowing the lawn. b. Acute Coronary Syndrome –i. Unstable Angina - Worst, because it’s sudden. ii. Acute MI (STEMI and NSTEMI) iii. Women and Diabetics don't get chest pain. Usually get n/v, or upset stomach  
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MI Diagnose: Acute Failure: General Failure:   Acute Failure: Troponin/CK General Failure: Troponin/BNP  
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Major Comp of MI:   Stroke, dysrhythmias, heart failure, shock  
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Inhibits ADH (prevents holding fluids; elevated indicates a probable or very probable diagnosis of heart failure. Also Inhibits ADH (prevents holding fluids)   BUN  
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Lets you see electrical impulses of the heart   EKG  
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for heart failure, because mechanical function of the heart.   ECHO  
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Untreated HTN crisis major complication   STROKE  
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Untreated HTN crisis Risk Factors:   smoking, age, family hx, sugar/weight, lipids  
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Untreated HTN crisis Dx:   3 separate readings  
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Untreated HTN crisis Tx:   O2, cardiac monitor, 15min reassessment, sit them, assess BP q2mins  
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Untreated HTN crisis teaching:   lifestyle modification  
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Who gets mitral valve problems, endocarditis? (how? and Teaching?   Ppl with rheumatic fever; strep throught, PNC cure  
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Arterial Problem S/S   – no oxygen, blue, no hair growth, no pooling, shiny, thin skin, infectious dry ulcers  
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Venous Problem S/S   blood can’t return to the heart, blood pools, gets oxygen, pink or red, swollen, not shiny, not infectious wet ulcers, elevate and compress.  
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PAD is at high risk for   infectious ulcer.  
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DVT Risks:   Virchow’s Triad (Stasis of blood flow, Endothelial Injury, Hypercoagulability)  
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DVT Prevention:   TED/SCD, Drug prophylaxis, heparin, Coumadin, LMWH, Clot buster, IVC filter.  
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DVT Major comp:   PE (Pulmonary Embolism)  
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Hogkins’s –   Reed-Sternberg’s Cells  
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Aortic Aneurysm causes   no blood flow to the legs: cool, pallor  
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DIC – Disseminate, Intravascular, Coagulation Risk Factors:   After surgery, vaginal birth, cancer, sepsis.  
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No pulse=   CPR Start CPR while waiting to shock them  
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Ranges: Hemoglobin for Females: Males Hematocrit for Female: Males WBC = Platelets =   Ranges: Hemoglobin for Females: 11.7 – 16 Males 13.2 -17.3 Hematocrit for Female: 35%-47% Males 39%-50% WBC = 4000 – 11,000 Platelets = 150,000 – 400,000  
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a. Prevent development of Heart Failure in pts w/MI. b. First line of immunity for chronic heart failure. c. Can cause hypotension after the initial dose   Ace inhibitors (prils)  
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