Cardiac

Question 1

Bizarre meaning

Answer 1

tachycardia

Question 2

Chaotic

Answer 2

fibrillation

Question 3

What occurs after an MI

Answer 3

PVC’s sign of reperfusion

Question 4

High priority rhythms

Answer 4

asystole and v fib= no cardiac output

Question 5

Treatment for Sinus Bradycardia

Answer 5

Atropine
fluids
dopamine- vasopressor
connect to pacemaker- give pain med before

Question 6

SVT stable

Answer 6

Adenosine
vasovagal before giving

Question 7

SVT unstable

Answer 7

cardiovert

Question 8

A fib/flutter

Answer 8

Amniodarone
(BB, CCB, and dig)
warfarin or heparin if last more than 48 hrs

Question 8

A fib/ flutte unstable

Answer 8

Cardiovert

Question 9

PEA and Asytole

Answer 9

1. Check for pulse
2. CPR
3. EPI

5H’s and 5T’s cause

Question 10

Torsades de pointes

Answer 10

IV magnesium
low magnesium causes
normal range 1.3-2.4

Question 11

V Tach with a pulse and stable

Answer 11

give amniodarone

Question 12

V tach no pulse

Answer 12

Defib, cpr, epi 3-5 min

Question 13

V Tach with pulse and unstable

Answer 13

cardiovert

Question 14

V fib

Answer 14

defib, cpr, epi

Question 15

cardiac output

Answer 15

how much blood is being pumped
4-8 L/min
calculated by hr x SV

Question 16

Ejection fraction

Answer 16

how much blood leaves the heart each time it contracts
55- 70% normal
40 or less= heart failure

Question 17

Meds avoided with hf patients

Answer 17

cough or flu meds
antacids
NSAIDs

raise bp

Question 18

Cholesterol

Answer 18

less than 200

Question 19

Triglycerides

Answer 19

less than 150

Question 20

LDL

Answer 20

less than 100

Question 21

HDL

Answer 21

higher than 40

Question 22

Stable angina and treatment

Answer 22

pain stops at rest

treat with nitro, bb, and anti platelet

Question 23

Unstable angina treatment

Answer 23

pain unrelieved with rest

treatment:
O- oxygen
A- aspirin
N- nitro
M- morphine

Question 24

MI

Answer 24

heart muscles die
no oxygen pumped to the body
tropinon over 0.5 number 1 indicator
s/s: chest pain, abdominal pain, heartburn, jaw/ shoulder pain, n/v, sweating

Question 25

Treatment for MI

Answer 25

OANM- oxygen

Cath lab or clot buster- clear clot
PCI, angiography or angioplasty

Heparin IV- rest and prevent
Nitro IV
Beta blockers
CCB

Question 26

CATH Lab

Answer 26

contrast kills kidney
no metformin 48 hrs before or after
must lay supine 6hrs after
can’t palpate pulse call HCP
creatine over 1.3= bad

Question 27

Thrombolytics or Fibronolytics

Answer 27

no injections
no active bleeds (petit ulcer)
do not give with history of
AV malformations
HTN over 180
stroke within three months
recent surgery
head trauma
intracranial hemorrhage

Question 28

All children with congenital heart defects have what

Answer 28

a heart murmur and and echo

Question 29

4 defects of TET of Fallot

Answer 29

Varied
pictures
of a
ranch

Question 30

Congenital Heart defects

Answer 30

TRouBLe
all start with t
shunt blood right to left

Question 31

Congenital heart defects

Answer 31

-need surgery
- slowed growth and development (failure to thrive)
- shortened life expect
- discharge on heart monitor