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Med Surg 2 > MI > Flashcards

MI Flashcards

1
Q

MI:

A

Heart attack
Formation of localized necrotic areas within the myocardium

Abrupt decrease of blood and oxygen to the heart muscle

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2
Q

Diagnostic Enzymes

A

CK-MB

Troponin T and I

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3
Q

Nursing Care

A 
Provide thrombocytes therapy
Relieve family anxiety
Ensure bed ready
Monitor VS and I&O
Lifestyle Modificarions
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4
Q

Expect which lab to be elevated following an acute MI

A

CK, troponin, and myoglobin

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5
Q

Troponin:

A

Protein released when the heart muscle is damaged

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6
Q

Transcutaneous Pacemaker:

A

Used to maintain the HR until a transvenous or pemanent pacemaker can be inserted

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7
Q

Defibrillation is indicated for

A

V Fib or unwitnessed v tach

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8
Q

Why promote rest for a client following an Mi

A

Decreasss the workload on the heart

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9
Q

S3 indicated which condition

A

MI

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10
Q

Which enzyme elevates and peaks most rapidly if the client experiences a MI

A

CK-MB

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11
Q

The nurse understands that oxygen is given to a client experiencing an Am I to prevent which problems at the ischemic heart muscle is likely to develop

A

Fatal Dysrhythmia

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12
Q

Diet modifications

A

Reduce fat intake to less than 30%

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13
Q

Manifestations of a heart attack

A

Tachypnea, vomiting, anxiety, Q waves change, ST elevation

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14
Q

What is a complete heart block

A

When P waves that are not associated with QRS complex

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15
Q

What is a Mobitz second-degree heart block

A

Intermittently absent QRS complex

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16
Q

What does it mean when the PR interval is greater than .20 seconds

A

Firstdegree heart block

17
Q

Second- degree AV block can follow:

A

Heart attack

18
Q

Synchronize cardioversion is used for which dysrhythmia

A

VT

19
Q

True or False

ST Segment should be iso electric

A

True

20
Q

Cardiac output equals

A

Stroke volume times heart rate

21
Q

A typical or Prinzmetal Angina

A

Occurs at the same time each day and at rest

22
Q

Unstable angina

A

Not relieved by rest or nitroglycerin. It is less predictable

23
Q

Stable angina

A

It is induced by exercise and relieved by Rest or nitroglycerin

24
Q

Paroxysmal SVTs

A

Prepare for cardioversion, administer IV adenosine, admin beta blockers

25
Q

Torsades de pointes

A

Wide and bizarre QRS complexes

Type of VT

26
Q

Normal sinus rhythm

A

Of 60 to 100 bpm, regular rhythm, 1 P to 1 QRS, normal time for PR, normal time for QRS

27
Q

Time for QRS complex

A

.6-.10 seconds

28
Q

Ventricular fibrillation is a

A

Medical emergency

29
Q

True or false

Good collateral circulation can limit the size of a heart attack

A

True

Med Surg 2 (22 decks)

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