Name: Score:
115 Multiple choice questions
Definition 1 of 115
age
gender
ethnicity
face
family hx
heredity
lvh signs and symptoms
stroke modifiable risk factors
stroke non-modifiable risk factors
Pulmonary Artery Pressure (PAP)
Definition 2 of 115
decreased hemoglobin and hematocrit
mild 10-12 or 20%
moderate 6-10 or 30% (consider PRBC, S/S at rest)
severe <6 or 40% (can lead to massive MI)
anemia
leukemia
thrombocytopenia
fever
,Definition 3 of 115
can increase ICP
Anemia
Right Sided Stroke Symptoms
Fever
Urticaria
Term 4 of 115
CAD contributing factors
fasting blood glucose about 100
depression, hostility, anger, stress, elevated homocysteine levels
ischemia to the myocardium
Pale
diaphoretic
cold
clammy
N/V
anxiety - SOB
VS = tachycardia, hypotension
monitor meds
adjust lifestyle - risk factors
exercise
modify fats (saturated) and sodium
- during attack = rest, US, ECG, no more than 3 nitro (5min apart)
assess BP and apical pulse before
pulse less than or equal to 60 or systolic BP
<90, hold and contact MD
,Term 5 of 115
CVA (brain attack) stroke
high risk = African American, men (women have a higher mortality rate)
ischemia to the myocardium
Pale
diaphoretic
cold
clammy
N/V
anxiety - SOB
VS = tachycardia, hypotension
4 spontaneously
3 to speech
2 to pain
1 no response
*left side
low - increase fluids
high - decrease fluids
Term 6 of 115
Hematocrit normal values
• Females 37-47%
• Males 42-52%
heparin induced thrombocytopenia
1st level that elevates during an MI
onset of new murmur
, Term 7 of 115
stable angina
**relieved with rest and niro
ASA 81-325mg
nitro 0.4mg every 5min x3
if not relieved - give morphine
5. oriented to person, place, time
4. confused
3. inappropriate words
2. incomprehensible sounds
1. no response
may increase risk of bleeding in patients taking coumadin
may increase effects of antihyperglycemic drugs
*increased confusion
increased ammonia
decreased protein diet
lactulose (decrease ph of bowel, increase secretions of ammonia)
Definition 8 of 115
check O2 = can be r/t hypoxia
check K+= electrolyte imbalance
- assess hemodynamic status
drugs*BB, procainamide, or amiodarone
PVC Treatment
Sinus Bradycardia Treatment
Arterial Pad Treatment
Ventricular Tachycardia Treatment
115 Multiple choice questions
Definition 1 of 115
age
gender
ethnicity
face
family hx
heredity
lvh signs and symptoms
stroke modifiable risk factors
stroke non-modifiable risk factors
Pulmonary Artery Pressure (PAP)
Definition 2 of 115
decreased hemoglobin and hematocrit
mild 10-12 or 20%
moderate 6-10 or 30% (consider PRBC, S/S at rest)
severe <6 or 40% (can lead to massive MI)
anemia
leukemia
thrombocytopenia
fever
,Definition 3 of 115
can increase ICP
Anemia
Right Sided Stroke Symptoms
Fever
Urticaria
Term 4 of 115
CAD contributing factors
fasting blood glucose about 100
depression, hostility, anger, stress, elevated homocysteine levels
ischemia to the myocardium
Pale
diaphoretic
cold
clammy
N/V
anxiety - SOB
VS = tachycardia, hypotension
monitor meds
adjust lifestyle - risk factors
exercise
modify fats (saturated) and sodium
- during attack = rest, US, ECG, no more than 3 nitro (5min apart)
assess BP and apical pulse before
pulse less than or equal to 60 or systolic BP
<90, hold and contact MD
,Term 5 of 115
CVA (brain attack) stroke
high risk = African American, men (women have a higher mortality rate)
ischemia to the myocardium
Pale
diaphoretic
cold
clammy
N/V
anxiety - SOB
VS = tachycardia, hypotension
4 spontaneously
3 to speech
2 to pain
1 no response
*left side
low - increase fluids
high - decrease fluids
Term 6 of 115
Hematocrit normal values
• Females 37-47%
• Males 42-52%
heparin induced thrombocytopenia
1st level that elevates during an MI
onset of new murmur
, Term 7 of 115
stable angina
**relieved with rest and niro
ASA 81-325mg
nitro 0.4mg every 5min x3
if not relieved - give morphine
5. oriented to person, place, time
4. confused
3. inappropriate words
2. incomprehensible sounds
1. no response
may increase risk of bleeding in patients taking coumadin
may increase effects of antihyperglycemic drugs
*increased confusion
increased ammonia
decreased protein diet
lactulose (decrease ph of bowel, increase secretions of ammonia)
Definition 8 of 115
check O2 = can be r/t hypoxia
check K+= electrolyte imbalance
- assess hemodynamic status
drugs*BB, procainamide, or amiodarone
PVC Treatment
Sinus Bradycardia Treatment
Arterial Pad Treatment
Ventricular Tachycardia Treatment