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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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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