Cardiac

Question 1

Ischemia is what

Answer 1

Pain

Question 2

How do you asses chest pain

Answer 2

Provokes 
Quality
Radiation
Severity
Timing

Question 3

Snapshot in time

Answer 3

ECG

Question 4

What does chest x ray show

Answer 4

Heart size and fluid lungs

Question 5

What does echo show

Answer 5

Chambers and valves

Question 6

What does a TEE show

Answer 6

Behind heart looking for clots

Question 7

What does MRI show

Answer 7

Home organ soft tissue

Question 8

Acute intermittent chest pain syndrome caused by imbalance between myocardial oxygen demand and supply resulting in ischemia

Answer 8

Angina

Question 9

Angina that occurs with exertion relieved by rest

Answer 9

Stable angina

Question 10

Severe pain not relieved by rest requires more nitro

Answer 10

Unstable

Question 11

Teaching with nitro

Answer 11

One tablet every five min times 3 store dark bottle dry place

Question 12

What is nitro action

Answer 12

Smooth muscle relaxant vasodilator

Question 13

Caused by reduced blood flow to an area of the myocardium resulting in significant and sustained oxygen deprecation

Answer 13

Acute myocardial infarction

Question 14

Asses,net of a pt with an MI

Answer 14

Sudden chest pain can radiate down neck arms jaw skin cool clammy pale diaspore tic nitro does not help pain

Question 15

Nursing interventions with someone having a heart attack

Answer 15

Morphine
Oxygen
Nitro
Aspirin

Question 16

What does morphine do

Answer 16

Decreases anxiety pain smooth muscle relaxant decreases preload and afterload

Question 17

Teaching with aspirin

Answer 17

Chewable 81mg 2-4

Question 18

What does beta blockers do

Answer 18

Decreases heart rate and contractility

Question 19

What do ACE inhibitors do

Answer 19

Decreases stroke volume

Question 20

What does phosphodiasterase do

Answer 20

Increase contractility decrease afterload

Question 21

What does dopamine do

Answer 21

Stimulates adrenergic receptors treats low cardiac output

Question 22

What does doubt amine do

Answer 22

Ehances contractility av co blood flow

Question 23

Which is low and high pressure of heart

Answer 23

Left high power house

Right low

Question 24

Pressure equals

Answer 24

Flow times resistance

Question 25

Force exerted on the liquid

Answer 25

Pressure

Question 26

Amount of fluid moved over time

Answer 26

Flow

Question 27

Measure of the ease which the fluid flows through the lumen of a vessel

Answer 27

Resistance

Question 28

Normal lactate level

Answer 28

0.5-1.6

Question 29

Level of phlebostatic axis

Answer 29

4th intercostal space midaxillary line

Question 30

Amount of blood ejected by the heart each min and is calculated from her and av

Answer 30

Cardiac output

Question 31

Co adjusted for an individual's size or body surface area

Answer 31

Cardiac index

Question 32

Four factors that affect svo2

Answer 32

Hemoglobin Co Atrial oxygen sat Oxygen consumption

Question 33

A progressive narrowing of one or more coronary arteries by atherosclerosis

Answer 33

Coronary artery disease

Question 34

Thin walled low pressure chambers receive blood

Answer 34

Atria

Question 35

An additional 30 percent of blood volume into ventricles

Answer 35

Atrial kick

Question 36

Thick walled high pressure

Answer 36

Ventricles

Question 37

Detect changes in by

Answer 37

Baroreceptors

Question 38

Detect changes in ph 02 and co2 levels in blood

Answer 38

Chemoreceptors

Question 39

Slows heart rate

Answer 39

Parasympathetic

Question 40

Accelerator fight or flight

Answer 40

Sympathetic

Question 41

Myocardial cell function

Answer 41

Mechanical

Question 42

Primary electrical

Answer 42

Pacemaker

Question 43

Primary chemical

Answer 43

Action potential

Question 44

Contraction/pressure

Answer 44

Systole

Question 45

Relaxation filling

Answer 45

Diastole

Question 46

Number for at rest

Answer 46

-90mv

Question 47

Phase o

Answer 47

Rapid depolarization

Question 48

Phase 1

Answer 48

Early repolarization

Question 49

Phase2

Answer 49

Repolarization

Question 50

Phase 3

Answer 50

Rapid repolarization

Question 51

Phase 4

Answer 51

Resting membrane potential

Question 52

Absolutely can't be stimulated to conduct electrical

Answer 52

absolute refractory period

Question 53

Can be stimulated if pulse is strong enough

Answer 53

Relative refractory period

Question 54

SA node electrical conduction

Answer 54

60-100

Question 55

Av node conduction

Answer 55

40-60

Question 56

Purkinjes electrical

Answer 56

20-40

Question 57

A record of the spread of electrical activity through the heart

Answer 57

ECG

Question 58

On ECG paper how many seconds is one big box

Answer 58

0.20 seconds

Question 59

How long is small box

Answer 59

.04

Question 60

Isoelectric line equals

Answer 60

-90mv

Question 61

First wave in cycle atrial depolarization smooth round

Answer 61

P wave

Question 62

Normal PR interval

Answer 62

0.12 to 0.20 sec

Question 63

What is pr interval show

Answer 63

Timing from atrial depolarization to entering the bundle of his

Question 64

QRS complex shows

Answer 64

Ventricular depolarization

Question 65

QRS complex measures

Answer 65

0.06 to 0.12

Question 66

Displace,net of an at segment means

Answer 66

MI

Question 67

What is the T wave

Answer 67

Ventricular repolarization

Question 68

What changes shape of T

Answer 68

Electrolyte imbalance

Question 69

What is normal QT interval

Answer 69

Varies with age

Question 70

Step 1 of analyzing strip

Answer 70

Heart rate... Count the r in a 6 second strip times by 10

Question 71

Step 2

Answer 71

Regular or not ... Measure R intervals

Question 72

Step 3

Answer 72

P wave... Does it precede QRS

Question 73

Step 4

Answer 73

QRS.. Does it measure 0.06 to 0.12

Question 74

Step 5

Answer 74

Intervals PR 0.12 to 0.20

Question 75

Step 6

Answer 75

Overall apparence

Question 76

Step 7

Answer 76

Name for point origin and mechanism

Question 77

Contraction of the heart with blood ejected from heart chambers into system

Answer 77

Systole

Question 78

Slow passive filling of blood back into the heart

Answer 78

Diastole

Question 79

Electrical firing of impulse

Answer 79

Depolarization

Question 80

Electrical recharging

Answer 80

Repolarization

Question 81

Symptoms of low co

Answer 81

Altered LOC low BP chest pain SOB decreased UO cool clammy pale skin

Question 82

Heart rate less than 60 norm everything else

Answer 82

Sinus bradycardia

Question 83

What do you give for bradycardia if symptomatic

Answer 83

Atropine 0.5 to 1 mg

Question 84

Heart rate greater than 100 everything else norm

Answer 84

Sinus tachycardia

Question 85

A site when atria fires before the next SA node impulse early P wave

Answer 85

PAC

Question 86

Atrial rate 400-600 no P waves no Pr interval

Answer 86

Atrial fibrillation

Question 87

Dangers of atrial fibrillation

Answer 87

Loss of atrial kick thrombi

Question 88

Drug for a fib

Answer 88

Anticoagulant amiodrone

Question 89

Sawtooth flutter waves rate 250-300

Answer 89

Atrial flutter

Question 90

What do you give for SVT

Answer 90

Adenosine

Question 91

Ectopic site in ventricle no P wave wide QRS

Answer 91

PVC

Question 92

3 or more PVC in a row

Answer 92

Ventricular tachycardia

Question 93

No P waves no QRS NO PULSE CODE

Answer 93

Ventricular fibrillation

Question 94

No ventricular activity see straight line always confirm more than 1 lead

Answer 94

As systole

Question 95

No p waves no pulse rate 20-40 ventricular focus dominant pacemaker

Answer 95

Idiots tricolor rhythm