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NCLEX Review > Review three- CARDIAC > Flashcards

Review three- CARDIAC Flashcards

(66 cards)

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1
Q

ccbs are like ___ for your heart

A

valium

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2
Q

ccbs calm/___ the ___

A

calm/depress the heart

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3
Q

ccbs are NOT used for ___ and ___

A

bradycardia or stimulation

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4
Q

ccbs are tx for (a,aa,aaa)

A 
anthyprtensives
antanginals
anti-atrial arrythmia (a flutter, afib, premature atrial contractions)
SVT
ATRIUM ONLY
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5
Q

ccb side effects

A

headache, hypotension

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6
Q

when choosing se on a sata ___ is usually a good guess

A

headache

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7
Q

ccbs end in

A

dipine
“dipping in the calcium channel”
& varapamil, cardizem

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8
Q

what should you assess prior to administering a ccb

A

assess BP

hold if under 100 systolic

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9
Q

vfib is

A

no pattern; random

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10
Q

vtac is

A

sharp peaks

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11
Q

asystole

A

no rhythm

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12
Q

QRS depolarization means

A

ventricular issue

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13
Q

pwave is

A

atrial

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14
Q

no qrs

A

asystole

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15
Q

saw tooth pattern

A

a flutter

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16
Q

chaotic pattern

A

fibrilations

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17
Q

bizarre pattern

A

tachy

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18
Q

periodic wide qrs

A

pvcs

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19
Q

when you dont know how fast an iv push should be admin choose

A

slowly

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20
Q

pvcs are usually __ priority

A

low

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21
Q

pvcs are moderate priority if

A
  • more than 6/min
  • more than 6 in a row
  • falls on t wave of previous beat
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22
Q

svt or atrial arrhythmia drugs (abcd)

A

Adenocard
Beta Blockers
CCBs
Digitalis

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23
Q

lethal arrhythmias

A

asystole or vfib; no cardiac output/brain perfusion

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24
Q

potentially life threatening arrhythmia

A

vtach

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25
tx pvcs and vtach w
lidocaine or amiodarone
26
adenocard=
adenosine
27
beta blockers end in
lol
28
digitalis=
digoxin/lanoxin
29
bb contraindication
asthma
30
bb se
headache, hypotension
31
if the patient has vfib you
dfib!
32
asystole tx
1. epi | 2. atropine
33
chest tube purpose
reestablish neg pressure in pleural space
34
pneumothorax chest tube removes
air
35
hemothorax chest tube removes
blood
36
chest tube report to dr asap if
no bubbles drain 800ml or more in first 10hrs no draining intermit. bubbling
37
apical tube location removes
air
38
basilar tube location removes
blood
39
always assume chesttube is __ unless specified
unilateral
40
pneumonectomy does not require a
chest tube
41
if the pneumovac gets knocked over the patient should take
deep breathes
42
what should the nurse do if the waterseal on a chest tube breaks
clamp so no air gets in, cut it, place tube in sterile water, unclamp
43
what should the nurse do if a chest tube is pulled out
first gloved hand cover hole | best cover with vaseline gauze
44
intermittent bubbling in water seal is
good; document
45
continuous bubbling in water seal is
bad; theres a leak, tape it
46
intermittent bubbling in suction control chamber is
bad; not enough suction
47
continuous bubbling in suction control chamber is
good; document
48
a straight cath is to a foley as thoracentisis is to a
chest tube (increased rx for infection)
49
dont clamp a chest tube for longer than ___ sec w/out a dr order
15 sec
50
congenital heart defects think
``` T if it starts w a T its trouble Right to left bloodflow O U Blue/cyanotic L E ```
51
all congenital heart defects that start w T are
trouble!
52
all congenital heart defect pts will have
1. a murmur | 2. have an echo done
53
4 defects of tetralogy of fallow
``` "Varied pictures of a ranch" VarieD PictureS Of A RancH VD- ventricular defect PS- pulm. stenosis OA- overriding aorta RH- right hypertrophy ```
54
contact precautions are
anything enteric; fecal oral, staph, RSV, herpes
55
droplet precautions are
travel 3ft on particles; meninigitis, hflu
56
hflu causes
epiglottitis
57
airborne precautions
mmr, tb, chickenpox
58
hepatitis anything w a vowel comes from the bowel
hep a&e
59
contact precautions ppe
gloves, gown, handwashing, disposable supplies
60
droplet precautions ppe
mask, gloves, handwashing, pt must wear mask when leaving room, disposable supplies
61
airborne precaution ppe
mask, gloves, handwashing, pt mask, neg airflow room
62
PPE removal is in
alphabetical order; | gloves, goggles, gown, mask
63
PPE application reverse alphabetical except for mask is second
gown, mask, goggles, gloves
64
IV drip rate equation
volume x gtt factor/ time (min)
65
micro/mini gtt
60ggt/ml
66
macro gtt
10gtt/ml

NCLEX Review (12 decks)

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