Random important stuff

Question 1

1) Pt comes in to ER, pulse is high pt is shaky, it’s an irregular supraventricular tachy & AFIB. They’re unstable, what do you do?
2) Vital signs improve, now what do you do? Do you anticoagulate?

Answer 1

1) Don’t give them diltiazem, do synchronized cardioversion.
2) Yes, absolutely.

Question 2

Pt comes into family practice, pulse ox is really weird and going all over the place, you feel pulse and it’s erratic. Lungs are clear, get a 12 lead EKG and it says she’s got AFIB with 120bpm. What do you do?

Answer 2

Anticoagulation first.

Question 3

End diastolic ventricular volume/ pressure is defined as what?

Answer 3

Pre load

Question 4

Define ejection fraction

Answer 4

the ratio of ventricular stroke vol to the ventricular end diastolic volume

Question 5

In a normal heart, as the ___________ increases, cardiac output increases

Answer 5

preload

Question 6

True or false: Echocardiogram can differentiate HFpEF and HFrEF

Answer 6

True

Question 7

True or false: LVH will occur with stage 2 heart failure.

Answer 7

True

Question 8

True or false: Asymmetric septal hypertrophy is not characteristic of stage 2 HF

Answer 8

True

Question 9

Symptomatic LVH compensating for chronic elevated ____________ is typical of HFpEF

Answer 9

afterload

Question 10

Compensation is usually bc of _______________, non-compensated means the heart is getting weaker.

Answer 10

hypertrophy