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CCRN > Respy/Cardiac > Flashcards

Respy/Cardiac Flashcards

(50 cards)

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1
Q

Vital Capacity: what is the minimum for life

A

Maximum amount of air Exhalation
15 ml/kg

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2
Q

What is PA02:Fi02 indicating ARDS

Normal minute ventilation

A

<300 = ARDS

MV: 5-8 L/min

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3
Q

Pulmonary Fibrosis

A

Pulmonary ventilation is reduced
But cardiac output is normal so low VQ Ratio
Pa02/Fi02: low bc of shunting
CT- honeycomb appearance

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4
Q

Acute Hypoxic Resp Failure

A

Inc BP,HR,RR
Dc CO , UO

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5
Q

Normal Vq ratio

A

4L Vent / 5L Perfused - 0.8

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6
Q

Central Line Placement : iatrogenic pneumothorax

A

Thoracostomy and chest tube

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7
Q

Pulmonary contusion + flail chest + rib fx

A

Intubate

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8
Q

Normal tidal volume

A

6-8 ml/kg

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9
Q

Mill wheel heart murmur x tracheal perforation

Position to place them

A

Risk of air embolism
Trendelenburg and left decubitus tilt

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10
Q

Prominent v waves in pa catheter reading

A

Mitral insufficiency

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11
Q

Acute MI murmur

A

Mitral valve regurgitation

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12
Q

Papillary muscle rupture can happen after what (most common)

Where do you hear it the most

A

ACUTE MI *
or infective endocarditis
LOUDEST AT APEX
SURGICAL EMERGENCY
- MVR
- Pulmonary edema
- Cardiogenic shock

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13
Q

Unstable Angina (chest pain when)
- EKG Finding
-Trop Finding

A

CP @ rest
EKG:T wave inversion, ST depression
Troponin: NEGATIVE

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14
Q

NSTEMI
- EKG Finding
-Trop Finding

A

CPCPCPCPCPCP
T wave inversion, ST depression
Trop POSITIVE

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15
Q

STEMI
- EKG Finding
-Trop Finding

A

CPCPCPCPCPCPCP
ST Elevation 2+ leads
Trop POSITIVE

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16
Q

Variant/Prinzmetal

A

Transient ST elevation
Cyclic
Nicotine, cocaine, ETOH
Trop NEGATIVE
NTG relief chest pain and returns to normal ST

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17
Q

Do you give BB to cocaine heads

A

NO

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18
Q

Meds
ASA
AC
AP
BB

A

Aspirin
AC:Heparin/Enoxaparin
AP: Clopidogrel Abciximab Eptifibatide Tirofiban
BB: metope

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19
Q

Inferior MI
What artery is occluded

ST Elevation in what leads

AV conduction disturbance

What murmur2/t papillary muscle rupture

Heart rhythm r/t mortality

A

RCA occluded

v two, v three, aVF

2nd degree type1, 3rd degree, SSS, SB

MVR r/t to papillary muscle rupture

ST higher mortality

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20
Q

How much leads in order to diagnose for PCI and how long should the chest pain be

Door to ballon time
Door to fibrinolytic drug time

A

2 or more leads in ST elevation, or new LBBB. Make sure <12 hours

Door to balloon: 90m minutes
Door to Fibro: 30 minutes

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21
Q

PCI reocclusion s/s

Sheath removal how long to place pressure

Retroperitoneal bleed

Study These Flashcards
A

Chest pain, ST elevation - call PHYSICIAN

Sheath removal:
s/s nausea, yawning, pallor, diaphoresis
- Give Atropine 1st, then 250 cc NS
hold pressure for 20 minutes

sudden hypotension, low back pain: blood + fluids

22
Q

PCI repercussion labs and arrhythmia

PCI complication common x dangerous

Study These Flashcards
A

STUNNING
Elevation of troponin and CKMB
VT,VF *** MOST COMMON
, AIVR

Stent thrombosis within 24 hrs

23
Q

HTN Urgency vs Emergency

Greatest risk of developing _______

Meds
Nitroprusside
Labetalol

Study These Flashcards
A

Urgency: no end organ damage
Emergency: End organ damage (brain heart kidney retina)
STROKE*

Nitroprusside: Dc Preload and Afterload
- Toxicity: Cyanide toxicity restless, lethargic, tachy, seizure, metabolic acidosis. Happens >24 hours , renal impair

Labetalol: IV intermittent push

24
Q

ABI Normal

Bed position, Extremity mvmnt

Study These Flashcards
A

> 0.90 PAD.
Reverse Trendelenburg
Do NOT elevate extremity

25
Carotid Artery Disease
Monocular visual disturbances Aphasia Stroke Test: Angiography CEA : check neuro, VS
26
WPW Unstable SVT AF Qt Prolongation Meds, Electrolytes Treatment
SVT - Synchronized cardio version/Adenosine AF- BB, Amiodarone, Procainamide QT- Torsades des Pointes Amiodarone, Quinidine, Haloperidol, Procainamide LOW potassium, magnum , calcium tx: MAG
27
BNP EF
released by the ventricle related to stress BNP should be less than 100. EF : 50-70%
28
Systolic HF PMI to the left means
cannot eject, large left ventricle high risk of dilated cardiomyopathy positive inotrope and dilators to pump heart pulmonary edema, S3 heart sound PMI left means enlarged heart
29
NYHF Classes CLASS 4
HF at rest, severe limitation
30
Dilated Cardiomypoathy Systolic or Diastolic? Filling or ejection problem?
SYSTOLIC / Ejecting Thinning LV enlarged, Left HF signs and symptoms VAD / HEART Transplant
31
Hypertrophic Cardiomypoathy Systolic or Diastolic? Filling or ejection problem?
DIASTOLIC/Filling Thickening Syncope, chest pain, palpitations **Inc risked of sudden cardiac death
32
Diastolic HF
Filling problem , thick walls, S4, pulmonary edema, high BP CCB, BB, AceARB DIuretic
33
Compensatory Stage
Inc HR RR Resp Alkalosis, Met Acidosis S3,S4 Cool Skin Urine output dc Pulse pressure NARROW
34
IABP When does it inflate When does it deflate
Inflate at dicrotic notch, beginning of diastole . Increase coronary artery perfusion Deflate before beginning of systole . Decrease after load
35
CABG Mediastinal Chest Tube Chest tube greater than ___ for __ hours need intervention
SEROSANGUINOUS from operation site Chest tube lower than patient >100 cc for 2 hours
36
TAVR Transcatheter Aortic Valve Replacement
Prosthetic valve collapsible (bovine or porcine) over the diseased valve Via fem artery ASA for life, Plavix for 3-6 months s/p procedure
37
Cardiac Tamponade Where does the fluid accumulate
Fluid in the pericardial sac Muffled heart sounds Enlarged cardiac silhouette Narrowed pulse pressure Pulse paradoxes (SBP drops during inspiration)
38
What valve is most at risk for rupture due to a trauma?
AORTIC VALVE
39
Dresslers syndrome r/t pericarditis
happens after MI immune response
40
Pericarditis EKG ST Elevation
Viral, MI, post op pain worse with inspiration low grade temp, Inc ESR ST Elevation in ALL leads watch out for cardiac tamponade
41
Myocardial Contusion EKG ST Elevation
Broken vessels bleed into heart Death can occur in 48 hours pain worse with inspiration ST elevation in area of injury
42
How much mm in aortic aneurysm should you operate What medication to start
> 5 mm start labetalol
43
Post prandial hypotension should have
Low carb meals
44
Post prandial hypotension should have
Low carb meals
45
NH pts have high risk of what virus
MRSA
46
AVR Replacement high risk rhythm
2nd degree type 2
47
Cardiac tamponade diagnosis
ECHO
48
Low EF and atrial dysthymia is found with which cardiomyopathy?
Dilated
49
Trach perf put them in trendelenburg w left decubitus tilt … this will prevent air going in where
Float to left atrium
50
Inc cvp + emphysema =
Cor pulmonale , inc pvr and right heart failure

CCRN (5 decks)

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