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PN 141 test 1 book: Med surg nursing pg: 625

Quiz yourself by thinking what should be in each of the black spaces below before clicking on it to display the answer.
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Question
Answer
What is the name for the "normal heart rythm"   show
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show the sinoatrial node (SA)  
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show a disturbance or irregularit in the electrical system of the heart  
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show no  
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show altered formation of impulses or altered conduction of the impulse through the heart  
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def of ectopic beats   show
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show an impulse that may be blocked or delayed as it moves through the conduction pathways of the heart  
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Def of reentry phenomonom   show
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show above the ventrice  
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Where do ventricular rhythms originate   show
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show ventricular  
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show normal sinus rhythm (normal), sinus tachycardia, sinus bradycardia, premature atrial contractions (PACs), Atrial flutter, Atrial fibrillation  
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sinus tachycardia: Definition   show
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show only if sympotomatic  
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Sinus Bradycardia: tx   show
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Sinus Bradycardia: Def   show
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PACs: Def   show
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PACs: tx   show
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show irregularly irregular, no identifiable p wave, variable ventricular rate  
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Atrial fibrillation: tx   show
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show premature ventricular contractions (PVCs), ventricular tachycardia (V-tach), Ventricular fibrillation (V-fib)  
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V-tach: def   show
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V-tach: tx   show
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v-fib: def   show
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show immediate defibrillate  
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def of AV conduction blocks   show
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Why are anitdysrhythmic drugs used   show
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show beta blockers, class a1(quinidine), class IB (Lidocaine), class IC (Flecainide), Class III, Class calcium channel blockers, digoxin,  
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show cardioversion  
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What is defibrillation used for   show
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show an AICD recognizes life-threatening changes in heart rhythm and automatically delivers an electric shock to convert the rhythm back into normal rhythm  
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show pt w/ recurrent ventricular tachycardia and people who have survived cardiac arrest not associated with an AMI  
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PAcemakers: what are they used for   show
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Pacemakers: What are temporary ones used for   show
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Pacemakers: How are permenent ones implanted   show
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show sensing and pacing  
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Pacemakers: what does it do when it senses   show
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Pacemakers: What does it do when it paces   show
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Pacemakers: what causes it to pace   show
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show restrict movement of affected arm and shoulder for 24 hours, assist with gentle ROM after 24 hours, instruct pt to carry info on type of pacemaker at all times  
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show pulse rate 5 beats less then preset pacemaker rate, fever, weakness, chest pain, palpitations, **** let all care providers know that they have a pacemaker  
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s/s of decreased cardiac output   show
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What can a change in mental status indicate   show
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show potassium channel blocker  
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MEd: amiodarone (PACERONE)- uses   show
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MEd: amiodarone (PACERONE)- action   show
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show malaise, fatigue, tremor, proarrhythmic effect, N/V, constipation, ataxia, anorexia, bradycardia, photosensitivity  
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show return the heart rhythm to regularity, increase CO, increase tissue perfusion  
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show drug toxicity, electrolye imbalance, complications of MI or OH, dysrhythmias  
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show single is in 1 chamber of the heart, duel is two chambers  
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show not used often anymore, constant same rate all the time, some one that doesn't need much compensation  
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what is a demand rate pacemaker   show
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show dual one, they will use A or V or both chambers, intervene when needed  
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what is an ICD   show
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show 25 joules  
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show for emergency, they should also have what kind of pacemaker they have on them  
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pt with pacemakers: what is the electrical cautions   show
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pt with pacemakers: post op left arm care   show
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pt with pacemakers: teaching   show
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