COMPLETE QUESTIONS AND VERIFIED
SOLUTIONS GUARANTEED PASS
⩥ external and temporary pacemakers. Answer: short term
ventricular devices (spike in front of qrs) - R ventricle placement
external used in emergencies until temporary can be placed
⩥ permanent pacemakers. Answer: long term
spike in front of p wave - R atrium placement
⩥ bun level. Answer: around 10-20
⩥ creatinine level. Answer: around .6-1.2
⩥ nitroglycerine , nitrate. Answer: dilates coronary arteries, bp will go
down
monitor blood pressure PRIOR to giving each dose
can give 3 doses, 5 min apart
⩥ beta blockers. Answer: -olol
lowers heart rate , lowers blood pressure
,lowers workload
⩥ meds ending in -pril. Answer: ace inhibitors
lowers bp, lowers workload, helps prevent heart from becoming stiff and
noncompliant
huge side effects : angioedema, cough
⩥ aspirin. Answer: antiplatelet
monitor platelets = 100,000 low
⩥ heparin. Answer: anticoag
ptt level 35-45 so we want it between 70-90
antidote : protamine sulfate
⩥ if ptt level is 20.... Answer: increase dose of hep
⩥ if ptt level is 100.... Answer: STOP heparin
⩥ what heart rhythm is associated with receiving anticoagulant for?.
Answer: a fib
,⩥ warfarin/Coumadin. Answer: anticoagulant
pt/inr
antidote : vitamin k
⩥ plavix. Answer: antiplatelet
monitor platelets
⩥ if a heart valve is replaced, what med will they be on for the rest of
their lives?. Answer: anticoagulants
⩥ concerns for testing with someone who had a heart valve replacement.
Answer: endocarditis
to prevent this, prophylactic antibiotics
⩥ heart valves on the L side. Answer: mitral
aortic
⩥ L sided heart valve problem symptoms. Answer: dyspnea
s3 s4
sob
anything that leads to L sided chf
, ⩥ R sided heart valves. Answer: tricuspid
pulmonic
⩥ s&sof R sided heart valve problems. Answer: peripheral edema
ascites
jvd
anything that leads to R sided chf
⩥ pulmonary htn. Answer: A RIGHT SIDE ISSUE
vascular narrowing of pulm artery in which it originates on R side.
eventually leads to L side.
⩥ swan ganz (pulmonary artery catheter). Answer: shows fluid overload
on L&R side of heart
shows CVP and PCW
⩥ CVP (central venous pressure) level. Answer: 0/2-6
⩥ if CVP high...
if CVP low..... Answer: high : give them a diuretic
low : give them fluids - .9normal saline