PCCN Blue Practice Questions with 100% Complete Solutions, A+

Coronary sinus - Main venous drainage vessel of the heart AV Valves - Tricuspid and pulmonic Systolic murmur - Aortic stenosis Mitral regurgitation Key treatments in management of HF - -ACE -BB -Diuertics Pericardial tamponade - -Equalization of left & right atrial pressures (CVP and PAOP) -Hypotension -Distended neck veins -auscultate heart sounds frequently to identify muffling of heart sounds in pericarditis prior to tamponade Pericarditis tx - -pain relief (anti-infam/sterioidal( -antipyretic -cont EEG (dysrhythmia early s/s of cardiac tamponade) -ABG/ cont pulse ox for signs of hypoxemia Cardiac tamponade - -diastolic dysfunction (heart can't relax to fill w blood) -produces drop in blood pressure during inspiration (pulus paradox, SBP decreases by 20) -CVP and PAOP equal -pulmonary and venous engorgement Mitral valve rupture - Post MI complication -dyspnea -orthopnea -paroxsmal nocturnal dyspnea -elevated PAOP -pulm hyperTN -decreased CO -crackles -holosystolic murmur at apex -s3 -s/s of R HF Mitral stenosis - -most commonly due to rheumatic fever -dyspnea on exertion -progressive fatigue -cough -hemoptysis -R HF -elevated PAOP / RV pressures -afib