ANSWERS
A-fib Intervention: correct answer Give pt O2
Anticoagulants
Cardiac meds to control ventricular rhythm
A-fib: S/S correct answer fatigue, dizziness
A-fib: TX correct answer -Calcium channel blockers (i.e. diltiazem)
-B-blockers (i.e. metoprolol)
Amiodarone (conversion to and maintenance of sinus rhythm)
-Digoxin
-Electrical cardioversion
-Anticoagulation therapy
angina = correct answer chest pain that results from myocardial ischemia from
inadequate oxygen supply
Atrial fibrillation can be described as: correct answer irregular; (multiple rapid
impulses from many depolarizing from the atria in a disorganized manner
Atrial fibrillation correct answer 350-600 bpm and irregular
Atrial flutter correct answer 200-350 bpm and regular
, cardiac catheterization is a: correct answer Diagnostic study that provides a
definitive diagnosis, assess patency of the coronary arteries
Cardiac catheterization: Assess correct answer 1) Assess the site for: bleeding,
hematoma
2) Assess the pulses of the patient (i.e. pt has cardiac cath on right groin, check
the right pedal pulse; right antecubital check the right radial pulse)
Client education for EKG correct answer -Supine position with chest exposed
(Semi fowlers)
-Do not shave (because it will open the pores and those pores can get infected)
-Trim the hair on your chest (the leads will stick better)
-Wash the client's skin to remove oils
-Remain still and breathe normally
Complication of long acting nitrates correct answer -OS hypotension
-Monitor BP after the first dose
example of short acting nitrate correct answer sublingual nitroglycerin
Goals of A-fib TX correct answer Decrease ventricular response (to less than 100
bpm), prevent stroke, and convert to sinus rhythm if possible
Heart failure = correct answer impaired pumping ability of the heart
-results in diminished CO and results in inadequate tissue perfusion