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Ccrn > Cardiovascular > Flashcards

Cardiovascular Flashcards

(60 cards)

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0
Q

Malignant hypertension

A

Diastolic bp >140

Associated w/ retinal hemmorhaging and papilledema

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1
Q

Accelerated hypertension

A

Diastolic bp >120

Associated w/retinal hemmorhaging

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2
Q

Hypertensive crisis 3 types

A

Essential
Accelerated
Malignant

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3
Q

Treatment of hypertensive crisis

A

Vasodilator and sympathetic blocking agents

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4
Q

Cardiomyopathy 3 types

A

Dilated
Hypertrophic
Restrictive cardiomyopathy

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5
Q

Hypertrophic cardiomyopathy aka

A

Hypertrophic obstructed cardiomyopathy

Idiopathic hypertrophic subaortic stenosis

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6
Q

Ihss has a big

A

Fat vent. Septum

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7
Q

Hypertrophic cardiomyopathy treated w/

A

Beta or ca channel blockers

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8
Q

In hcm or Ihss don’t give

A

Digoxin nitrates dope amine isuprel morphine

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9
Q

Systolic pap high

A 
Pulm htn
Pulm hypoxia
Copd
Pe
Ards
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10
Q

Dias pap high in

A

Cardiac tamponade
Left. Vent failure
Mitral valve dx

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11
Q

Pa systolic

A

20-30

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12
Q

Pa diast

A

6-12

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13
Q

Pad closely corresponds

A

Left vent end dp

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14
Q

Pad corresponds w/ lvdp except

A 
Rbbb
Mitral valve dx
Pulm htn
Low left vent compliance
Aortic insufficiency
Pulm insufficiency
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15
Q

Pawp range

A

4-12

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16
Q

Pawp indicates

A

Left atrial pressure/lvedp

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17
Q

Pawp made of____waves

A

A atrial contract
C m valve closing
V. Atrial filling

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18
Q

A wave occurs after

A

Qrs

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19
Q

V wave occur after

A

T wave

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20
Q

Accurate wedge based on avg of

A

A waves

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21
Q

Pawp elevated in

A

Left sided heart dysfunction

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22
Q

Pad correlates w/

A

Lvedp and pawp

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23
Q

Pawp correlates w/

A

Lvedp and pad

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24
The pawp shouldn't be____than pad
Higher
25
Pa catheters must be in zone ___to be accurate
3
26
How do I know pa cath is in zone I or II?
Pawp>pad Pawp>pad Absence of a&tv waves Marked resp variations
27
Any peep >____effects pawp reading
10
28
Peep>10. Calc true pawp
Peep/1.36. /2. Then subtract result from pawp
29
2 causes of murmurs
Forward flow blood stenoic open valves | Back flow blood through incompletely closed valves
30
Aortic area
R 2 ics
31
Pulm area
L 2 ics
32
Mitral area
5 ics mcL
33
Tricuspid area
4-5 ics L sternal border
34
Diast murmur
S1 s2 mmmmm
35
Syst murmur
S1 mmmmm s2
36
Leads v1 v2 v3 have a ___wave
R
37
No r wave no ___
Anterior septal wall
38
Myocardial contusion EKG
St elevation in leads looking at injury
39
Pericarditis EKG
St elevation in all leads Risk for cardiac tamponade
40
Pericarditis s&s
Sharp stabbing pain increases w/ resp Low grade fever Dyspnea&cough Chest pain relieved by sitting up and leaning forward
41
Cardiac tAmponade s&s
Hypotension Elevated jvd Pulses paradoxus
42
Co range
4-8 L/min
43
CI range
2.8-4.2 L/min/m2
44
Cvp range
2-6 mm Hg
45
Blowing noise heard 2 rics increases w/ exhalation
Aortic insufficiency
46
Med pitch crescendo decrescendo radiating to neck & right carotid. Increases w/ holding breath
Aortic stenosis.
47
High pitched plateu blowing at apex radiates to Scilla
Mitral insufficiency
48
Lead 1 and avl look at ----- & complex is ----
Lateral wall. Up.
49
Lead II, III,& avf look at ---- & complex goes----
Inferior wall up
50
V1 v2 v3 v4 look at
Anterior septal wall
51
v5 & v6 look at
Lateral wall
52
V1-v6 have an --- wave that ----- in each v lead
R wave. Increases.
53
Inferior wall mi affects
``` RCA Sinus node:Brady Av node: chb 3rd hb, av dissociation Rv infarction Mitral valve insufficiency Usually asymptomatic ```
54
Only give atropine in
Brady with drop in bp
55
Anterior septal wall mi effects
LAD Bundle his and bundle branches: mobitz 2 and bbb Vent sept: vsd
56
Inferior wall mi w/av dissociation needs a
Pacer
57
Anterior wall mi w/ mobitz 2 or rbbb 94% mortality unless
Pacemaker inserted
58
Svr
800-1200
59
Svri
1970-2390

Ccrn (10 decks)

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