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Initial Measures For TX of Angina - ✔✔Morphine, oxygen, nitrogen, aspirin
Pt. Is depressed in the first few days after having an MI, most appropriate nursing action is: -
✔✔Encourage the Pt. to ventilate feelings and concerns
Pt. Is a couple days post MI and is getting out of bed for the first time and his HR increases from 80's to
90's. The nurse should do what? - ✔✔Check his VS
Major therapeutic goal in the Tx of cardiogenic shock is? - ✔✔Increase the cardiac output
Elevated cardiac enzymes occur in all of the following EXCEPT: - ✔✔CHF
*will occur in trauma, CABG, and pericarditis
What is the classic EKG change in a MI: - ✔✔ST segment elevation
After an arterial catheter is removed direst pressure should be applied for how long? - ✔✔5-10 minutes
A CVP reading directly measures pressure where? - ✔✔Right Atrium
You can use an arterial line for all the following except: - ✔✔Administration of drugs
Causes of ST elevation include: - ✔✔MI, pericarditis, left bundle branch block, left ventricular
hypertrophy, hyperkalemia
Causes of ST depression Include: - ✔✔Hypothermia, hypokalemia, tachycardia
, What is the normal pulmonary capillary wedge pressure? - ✔✔4-12 mmHg
Normal pulmonary artery pressure is? - ✔✔11-20
Elevated central venous pressure show: - ✔✔Right sided heart failure
Pulmonary capillary wedge pressure shows pressure where? - ✔✔Left ventricle
Monitor is showing the correct pattern for a pulmonary capillary wedge pressure, you can do all of the
following except? - ✔✔Flush the line
If the pulmonary capillary wedge pressure is elevated it can be an indication of? - ✔✔Left ventricular
failure
The wave in the cardiac cycle that shows atrial depolarization is? - ✔✔P-Wave
P-R interval - ✔✔0.12-0.20 seconds
QRS Complex longer that 0.12 may indicate? - ✔✔Bundle branch block
What is the purpose of enclosing a pacemaker generator in a rubber glove is? - ✔✔To prevent electrical
interference with the pacemaker
In which part of the cardiac cycle would a strong ventricular stimulus be dangerous - ✔✔T-wave
What is the initial drug Tx for ventricular tachycardia? - ✔✔Lidocaine 50-100MG
Why is A-Flutter so dangerous? - ✔✔It can cause the ventricular rate to increase