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Med Surg 2 > Exam 2 Review > Flashcards

Exam 2 Review Flashcards

1
Q

Bradycardia can be caused by

A

hypoxia

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2
Q

what medication can we give to fix bradyacardia

A

atropine

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3
Q

what is our first goal for Vtach

A

pulse

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4
Q

agonal rhythm is called

A

dying heart

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5
Q

what do we do in agonal rhythm

A

CPR

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6
Q

what med do we use for agonal

A

epi

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7
Q

what do we do in Vfib

A

check pulse

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8
Q

torsades is treated with

A

mag

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9
Q

failure to capture we need to increase

A

milliamp

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10
Q

SVT med

A

adenosine

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11
Q

SVT treatment

A

cardioversion

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12
Q

A fib treatment and some contraindications

A

cardioversion but this depends on the time because Afib are more at risk for mural thrombi and we would not want to release a clot

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13
Q

PR interval normal

A

0.12-0.20

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14
Q

how to measure PR

A

beginning of P to start of Q

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15
Q

QRS normal

A

0.10 or less

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16
Q

how to measure QRS

A

start of Q to end of S

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17
Q

QT interval time

A

0.38 or less

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18
Q

how to measure QT

A

start of Q to end of T

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19
Q

chronotropic drugs

A

affects the rate

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20
Q

inotropic drugs

A

contractility

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21
Q

epi chrono and ino

A

increase for both

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22
Q

dig chrono and ino

A

increase ino
decrease chrono

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23
Q

dopmine chrono and ino

A

increase both

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24
Q

beta blockers chrono and ino

A

decrease both

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25
Q

low does of dopamine does what

A

dilates renal and mesentery arteries

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26
Q

increase of dopamine does what

A

beta and alpha stimulation

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27
Q

what should we monitor with dig

A

K

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28
Q

doubutamine ino

A

increase

29
Q

when is doubtamine used

A

heart failure cardiogenic shock

30
Q

epi stimulates what

A

a and b

31
Q

norepinephrine low does impacts

A

beta

32
Q

norepi high dose impacts

A

a

33
Q

class I

A

blocks Na channels

34
Q

how do class 1 drugs work

A

prolongs the absolute refractory period and decreases the risk of premature impulses, decreses automaticity

35
Q

examples of class 1 drugs

A

quindine
procaniamide
lidocaine

36
Q

class 2

A

beta blockers

37
Q

how do class 2 work

A

inhibits dysrhythmias mediated by SNS
competes with endogenous catecholamines for receptor sites

38
Q

example of class 2

A

propanolol
metaprlol
esmolol

39
Q

how do class 3

A

slows repolarization and prolongs action potential

40
Q

examples of class 3

A

amiodarone
dofetilide
ibutilide

41
Q

class 4

A

calcium channel blockers

42
Q

how do class 4 drugs work

A

blocks calcium channel primaryilu in atria, sinus and AV node; depresses sinus AV condition and terminates tachys

43
Q

proarrythmic drugs

A

quindine
procaniamide
dofetilide
ibutilide

44
Q

cardiac output equation

A

heart rate x stroke volume

45
Q

stroke volume 3 components

A

preload
afterload
contractility

46
Q

preload

A

volume

47
Q

afterload

A

resistance

48
Q

what can make afterload higher

A

vasoconstriction

49
Q

what drugs do we use in asthma

A

beta agonist

50
Q

ARDS common side effect

A

refractory hypoxemia
- increase O2 but sats still low

51
Q

chest tube does what

A

restore the negative pressure in the pleural space

52
Q

what side do we turn a patient with diffuse disease throughout all left lung fields

A

right side
- good side down

53
Q

ischemic stroke

A

blood vessel supplying the brain is occluded

54
Q

raccoons eyes and battles sign is found in

A

basilar fractures

55
Q

anisocoria

A

unequal pupil size

56
Q

classic presentation of epidural hematoma

A

unconsiousness
lucid
rapid deterioration

57
Q

normal ICP

A

0-15

58
Q

cerebral perfusion pressure normal

A

70-100

59
Q

how to calculate CPP (cerebral perfusion pressure)

A

MAP-ICP=CPP

60
Q

treatment of increase ICP is

A

manitol

61
Q

what do we need to know about

A

use a filter

62
Q

cushings triad

A

increase systolic BP
decrease pulse
decrease respiration

63
Q

what does Cushing triads indicate

A

increase in ICP

64
Q

what are some things that can increase ICP

A

suctioning
straining
increase CO2

65
Q

cardiac glycosides

A

a fib CHF

66
Q

asthma

A

beta agonist

67
Q

ARDS Xray

A

at first normal
then white out

68
Q

how to give phenoytoin (dilantin)

A

undiluted
syringe pump thought large bore needle into large forearm vein

Med Surg 2 (32 decks)

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