MDC 3 Final Exam
MDC 3 Final Exam
1. What is therapeutic communication?
- "Tell me more"
"let’s talk about this"
"Don't give your own opinion"
"No why questions"
"No false reassurance"
"No blaming questions"
2. What are priority?
- -ABCs
-urgent vs. nonurgent
-change in status
-monitoring
-pick most likely to die
3. Walk into the room and your patient has no pulse. What should you do?
- -CPR (push code--start compressions)
4. Walk into the room patient has a pulse but not breathing. What should you do?
- -bag them
5. The patient is in V-fib how will they present?
- -they will be unconscious
-no palpable pulse
,MDC 3 Final Exam
6. Patient in V-fib how we get them out of this rhythm
- shock them
7. Patient is awake, alert, and the monitor says v-tack. What should we do?
- -assess first
-Valsalva maneuver (make them bear down)
-vagal maneuver (make them cough)
8. Which rhythm will we give adenosine?
- SVT (super ventricular tachycardia)--above the ventriculars
9. Patient with A-fib our priority is what
- -clotting
-atria is pooling w/blood
10. A-fib with RVR (rapid ventricular rate) what we do
- -hit w/meds (beta-blockers, digoxin, Cardizem) to lower rate
-anticoagulants
-cardioversion if meds don't work
-ablation surgery will be next step
11. Patient comes in ED w/MI how will we know
- -chest pain/pressure
-SOB
-elevated trop., CPK, CKMB, BNP (cardiac enzymes)
, MDC 3 Final Exam
-EKG changes (ST-elevation)
-diaphoresis
-N/V
12. How would a women present w/MI?
- -jaw pain
-anxiety
-atypical
-indigestion
13. How treat MI
- O=oxygen
N=nitro (sublingual Q5 x3 doses) is a vasodilator of coronary arteries. Drops BP
A=aspirin (antiplatelet, 325 mg chew)
M=morphine (chill anxiety out & help w/pain)
14. Procedures in Cath lab for MI
- -angioplasty
-angiogram
-stent
-balloons
-see where clot is
15. The patient has 80% blocked in their artery what will be done?
- CABG (coronary artery bypass grafting)
MDC 3 Final Exam
1. What is therapeutic communication?
- "Tell me more"
"let’s talk about this"
"Don't give your own opinion"
"No why questions"
"No false reassurance"
"No blaming questions"
2. What are priority?
- -ABCs
-urgent vs. nonurgent
-change in status
-monitoring
-pick most likely to die
3. Walk into the room and your patient has no pulse. What should you do?
- -CPR (push code--start compressions)
4. Walk into the room patient has a pulse but not breathing. What should you do?
- -bag them
5. The patient is in V-fib how will they present?
- -they will be unconscious
-no palpable pulse
,MDC 3 Final Exam
6. Patient in V-fib how we get them out of this rhythm
- shock them
7. Patient is awake, alert, and the monitor says v-tack. What should we do?
- -assess first
-Valsalva maneuver (make them bear down)
-vagal maneuver (make them cough)
8. Which rhythm will we give adenosine?
- SVT (super ventricular tachycardia)--above the ventriculars
9. Patient with A-fib our priority is what
- -clotting
-atria is pooling w/blood
10. A-fib with RVR (rapid ventricular rate) what we do
- -hit w/meds (beta-blockers, digoxin, Cardizem) to lower rate
-anticoagulants
-cardioversion if meds don't work
-ablation surgery will be next step
11. Patient comes in ED w/MI how will we know
- -chest pain/pressure
-SOB
-elevated trop., CPK, CKMB, BNP (cardiac enzymes)
, MDC 3 Final Exam
-EKG changes (ST-elevation)
-diaphoresis
-N/V
12. How would a women present w/MI?
- -jaw pain
-anxiety
-atypical
-indigestion
13. How treat MI
- O=oxygen
N=nitro (sublingual Q5 x3 doses) is a vasodilator of coronary arteries. Drops BP
A=aspirin (antiplatelet, 325 mg chew)
M=morphine (chill anxiety out & help w/pain)
14. Procedures in Cath lab for MI
- -angioplasty
-angiogram
-stent
-balloons
-see where clot is
15. The patient has 80% blocked in their artery what will be done?
- CABG (coronary artery bypass grafting)
