Test bank for Medical Surgery - Cardiac
What is unstable angina - answer -Angina that is not relieved by taking away the stressor
How do we treat angina - answer -- have them lie or sit down on a stretcher to decrease demand
for oxygen.
- Take oxygen first then nitro
- Take nitro every 5 mins 2 times and then call doctor.
- Take the third one way to the hospital
What order do we perform MONA - answer -- Oxygen
- Aspirin
- Nitro
- Morphine
Define Afterload - answer -- amount of pressure needed to pump out of the heart into the body
What is preload - answer -- Amount of blood left in the heart after contraction - Gas in the tank
What is stroke volume - answer -the amount of blood pumped out of the heart after 1 min
What is going on with the heart when the ejection fraction/stroke volume decreased - answer -
your bp and perfusion are lower because less blood is perfused through the tissue
What does a patient look like with a low ejection fraction - answer -they are pale to blue, cool,
tissues are taking as much oxygen as possible because they don’t know when they will see it
again
What are the labs drawn for heart failure or MI - answer -Troponin
CK MB
C
How long does troponin and CK MB stay in your system - answer -- Troponin - 14 days
- CK MB - 24-48 hours
What is our cholesterol made out of 3 things - answer -HDL, LDL, Triglycerides
What is the treatment for bradycardia - answer -- Pacemaker
- Atropine
What are the signs and symptoms - answer -grey and pasty
, Test bank for Medical Surgery - Cardiac
What are the rates of the conduction systems in the heart - answer -SA - 60-100
AV - 40-60
Purkinje - 20-40
How do electrical signals travel in heart - answer -intermodal pathways
What is the difference between n stemi and stemi - answer -N stemi has no ST elevation
What is vasospastic angina? - Answer -Rare form of angina that occurs from vasospasm from
cold temps or smoking, or medications that cause vasoconstriction
Why NSTEMI worse - answer --- There is are almost no signs of a heart attack
-- No St Elevation or chest pain
What are MI S/S - answer -Chest pain
- Diaphoresis
- Nausea
- SOB
- Anxiety
- Grey
- Vomiting
What is the discharge plan for someone with an MI - answer -- 150 minutes of exercise spread
through the week
- Diet high in protein. Low in fats, cholesterol and sodium
- Warn your doctor that you are on blood thinners
What would a person vomiting cause in a person with an MI - answer -vaso vagal response -
sudden drop in blood pressure
What is the first three things you do with a person that comes in with a signs of a MI - answer –
- Put them onto an EKG
- Listen to them
- Chest pain assessment
What are AICD/ICD used for - answer -Ventricular arrthymias
What is the difference between cardioversion and defibrilator - answer -- Cardioversion is
synchronizing any dysthrmias in the atrium. - R Wave
- Difibralators are used on people with ventricle fibrillation
What is unstable angina - answer -Angina that is not relieved by taking away the stressor
How do we treat angina - answer -- have them lie or sit down on a stretcher to decrease demand
for oxygen.
- Take oxygen first then nitro
- Take nitro every 5 mins 2 times and then call doctor.
- Take the third one way to the hospital
What order do we perform MONA - answer -- Oxygen
- Aspirin
- Nitro
- Morphine
Define Afterload - answer -- amount of pressure needed to pump out of the heart into the body
What is preload - answer -- Amount of blood left in the heart after contraction - Gas in the tank
What is stroke volume - answer -the amount of blood pumped out of the heart after 1 min
What is going on with the heart when the ejection fraction/stroke volume decreased - answer -
your bp and perfusion are lower because less blood is perfused through the tissue
What does a patient look like with a low ejection fraction - answer -they are pale to blue, cool,
tissues are taking as much oxygen as possible because they don’t know when they will see it
again
What are the labs drawn for heart failure or MI - answer -Troponin
CK MB
C
How long does troponin and CK MB stay in your system - answer -- Troponin - 14 days
- CK MB - 24-48 hours
What is our cholesterol made out of 3 things - answer -HDL, LDL, Triglycerides
What is the treatment for bradycardia - answer -- Pacemaker
- Atropine
What are the signs and symptoms - answer -grey and pasty
, Test bank for Medical Surgery - Cardiac
What are the rates of the conduction systems in the heart - answer -SA - 60-100
AV - 40-60
Purkinje - 20-40
How do electrical signals travel in heart - answer -intermodal pathways
What is the difference between n stemi and stemi - answer -N stemi has no ST elevation
What is vasospastic angina? - Answer -Rare form of angina that occurs from vasospasm from
cold temps or smoking, or medications that cause vasoconstriction
Why NSTEMI worse - answer --- There is are almost no signs of a heart attack
-- No St Elevation or chest pain
What are MI S/S - answer -Chest pain
- Diaphoresis
- Nausea
- SOB
- Anxiety
- Grey
- Vomiting
What is the discharge plan for someone with an MI - answer -- 150 minutes of exercise spread
through the week
- Diet high in protein. Low in fats, cholesterol and sodium
- Warn your doctor that you are on blood thinners
What would a person vomiting cause in a person with an MI - answer -vaso vagal response -
sudden drop in blood pressure
What is the first three things you do with a person that comes in with a signs of a MI - answer –
- Put them onto an EKG
- Listen to them
- Chest pain assessment
What are AICD/ICD used for - answer -Ventricular arrthymias
What is the difference between cardioversion and defibrilator - answer -- Cardioversion is
synchronizing any dysthrmias in the atrium. - R Wave
- Difibralators are used on people with ventricle fibrillation
