Cardiology Flashcards

(45 cards)

1
Q

Why chech Blood Pressure with Nitro?

A
  • Hold if Systolic Blood Pressure 20mmHg below baseline, the nurse should remove the ointment and report finding to the physical.
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2
Q

Pentoxifylline (Trental)

A

Is a hermorrheologic agent that improves blood flow by decreasing blood viscosity and is used to treat intermittent claudication. A hemostatic agent is used to stop excessive bleeding. A tissue plasminogen activator is used in early management of acute myocardial infarction. A thrombolytic agent is prescribed to dissolve clots and other substances in thrombi and emboli.

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3
Q

In a conscious ventricular tachycardia client, … is given to correct Heart Rate.

A

Lidocaine (Xylocaine) 75 mg IV push.

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4
Q

Clients undergoing PTCA (Percutaneous Transluminal Coronary Angioplasty) receive abciximab (ReoPro) to …

A

Inhibit platelet aggregation and thereby reduce cardiac ischemic complications.

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5
Q

Mitral stenosis

A

Diastolic, rumbling, low-pitched murmur heard at the apex.

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6
Q

Mitral insufficiency

A

A pansystolic, blowing, hi-pitched murmur.

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7
Q

Aortic insufficiency

A
  • systolic, harsh, crescent-decrescent murmur.

- A diastolic, blowing decrescent murmur.

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8
Q

Decadron (Dexamethasone)

A

Decrease cerebral edema.

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9
Q

Aldomet (Methyldopa)

A

Decrease Blood Pressure.

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10
Q

Phenytoin (dilantin)

A

Prevent seizures.

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11
Q

Propranolol Adverse Effects

A

N/V depression, fatigue and impotence.

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12
Q

Morphine Adverse Effects

A

N/V sedation, constipation, respiratory depression.

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13
Q

Nifedine Adverse Effects

A

Flushing, dizziness, HA, pedal edema.

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14
Q

For Myocardium Infartation (MI), must be started …

A

A thrombolytic agent must be started within 3-6 hrs of chest pain onset, and continued for 5-7 days.

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15
Q

Dopamine at low and High doses activates …

A

At low doses activate dopaminergic receptor sites at high doses it activates Alpha and Beta-1 receptor sites.

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16
Q

Dopamine Increases

A

Myocardial contractility and cardiac output, without changing heart rate, by signaling through dopamine receptors.

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17
Q

A cholinergic blocking agent may delay …

A

The sublingual absorption of nitro because of dry mouth. RN to offer sips of water before administering Nitro.

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18
Q

Amantadine (Symmetrel) and Digoxin (Lanoxin) enhance …

A

The effects of anticholinergic agents.

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19
Q

Thrombin

A

Is a hemostatic agent used to control local bleeding.

20
Q

Plasma protein fraction a blood derivative supplies colloids to the blood and expands plasma volume is used to …

A

To treat clients in shock.

21
Q

On a 12-lead ECG, leads V1 and V2 record electric events on …

A

The anterior surf of the Right ventricle and the anterior surf of the left ventricle.

22
Q

On a 12-lead ECG, leads V3 and V4 record electrical events…

A

In the septal region of the left ventricle.

23
Q

On a 12-lead ECG, leads I, aVL, V5, V6 record electrical events …

A

On the lateral surface of the left ventricle.

24
Q

On a 12-lead ECG, Leads II, II, aVF record electrical events …

A

On the inferior surface of the left ventricle.

25
Beta-1 receptors sites are located in ...
The heart.
26
Beta-2 receptors sites are located in ...
In the uterus, blood vessels and bronchi.
27
During the 1st week after an Miocardium Infartation (MI), RN should stay alert for a ...
Pericardial friction rub.
28
Graham Steells Murmur
Is a high pitched blowing murmur with a decrescent pattern heard during diastole.
29
Graham Steells Murmur indicates ...
Pulmonary insufficiency, such as from pulmonary HTN or a congenital pulmonary valve defect.
30
An ejection click associated with mitral valve prolapse or a rigid calcified aortic valve causes a ...
High pitched sound during systole.
31
Lidocaine (Xylocaine) 75mg IV push is used for ...
frequents Premature Ventricular Contractions (PVCs).
32
Procainamide (Pronestyl) used for ...
Atrial Fibrillation.
33
Lidocaine (Xylocaine) toxicity signs and symptoms ...
Confusion and restlessness.
34
During Digoxin (Lanoxin) therapy monitor ...
K and Mg levels.
35
Can predispose client to digitalis toxicity ...
Low levels of K and Mg.
36
Signs and symptoms of digitalis toxicity ...
Cardiac Arrhythmias.
37
Do not administer Digoxin with meals, because ...
It slows the absorption rate.
38
Rhombergs test assesses ...
cerebellar function.
39
Phalens test ...
carpal tunnel syndrome.
40
Rinne test ...
Air and bone conduction in both ears to screen for/confirm hearing loss.
41
Atropine Sulfate for Bradycardia ...
Is administered IV, not IM. 0.4 – 1 mg q2h is norm.
42
Arterial baroreceptors are found in ...
The aorta, carotid sinus and left ventricle wall.
43
A client with Heart Failure should limit H2O intake when taking ...
Flecainide (Tambocor).
44
Cardiac tamponade client has fluid surrounding the heart which suppresses
The amplitude of the QRS complexes on an ECG.
45
A fixed S2 split is ...
The hallmark of atrial septal defect. | It is continuous and doesn’t vary with respirations and results from prolonged emptying of the R ventricle.