PROPHECY MEDICAL SURGICAL TELEMETRY ACTUAL EXAM REAL QUESTIONS AND CORRECT DETAILED ANSWERS (100% CORRECT VERIFIED ANSWERS) LATEST UPDATES |RATED A+ BY EXPERT (BRAND NEW!!)

PROPHECY MEDICAL SURGICAL TELEMETRY ACTUAL
EXAM REAL QUESTIONS AND CORRECT DETAILED
ANSWERS (100% CORRECT VERIFIED ANSWERS) LATEST
UPDATES |RATED A+ BY EXPERT (BRAND NEW!!)
ICD - ANSWER: implantable cardioverter-defibrillator

pleural effusion - ANSWER: accumulation of fluid in the pleural cavity

What is an alcohol septum ablation? - ANSWER: A minimally invasive procedure
where alcohol is injected into the area of the heart that is too thick. The alcohol is a
toxin and causes the muscle to shrink and die. Remaining scar tissue is thinner than
the heart muscle.

What does an alcohol septum ablation fix? - ANSWER: Hypertrophic cardiomyopathy

NARD stands for - ANSWER: No acute respiratory distress

What does a higher BNP level indicate? - ANSWER: That more of the Bnp proteins
are having to be released into the bloodstream indicating heart failure

What is BNP relation to the kidneys? - ANSWER: It's filtered through the kidney so
high levels can indicate that kidneys aren't functioning properly

Pericardial effusion - ANSWER: accumulation of fluid in the pericardial cavity

pericardial window - ANSWER: Removal of an accumulation of blood or fluid in the
pericardium to improve cardiac function

Heparin antidote - ANSWER: protamine sulfate

What is cardioplegia? - ANSWER: Cold solution over the heart that stops it for CABG
procedure

AVR stands for ______. - ANSWER: Aortic valve replacement

Pulmonary embolus - ANSWER: Blockage of the pulmonary artery or one of its
branches due to a translocated clot

thrombectomy - ANSWER: surgical removal of a blood clot

TAVR abbreviation - ANSWER: Trans catheter aortic valve replacement

Don't give dil if an EF is below ___. Why? - ANSWER: 30%. Causes acute kidney injury

, First degree AV block - ANSWER: prolonged PR interval

Second degree type 1 - ANSWER: if the PR interval elongates

Second degree type 2 - ANSWER: P wave: 2 or more for every QRS complex.
PR interval: constant
QRS duration: usually .08 to .12seconds, can be wider
ventricular rate: usually 60 to 100/min, can be slower
Atrial rate (if different than ventricular rate): usually 60 to 100/min
Rhythm regularity: usually regular

Third Degree Heart Block (Complete Heart Block) - ANSWER: Totally irregular. The P's
and the QRS just don't match up. They are all over the place.

What medicine do you give for bradycardia? - ANSWER: Atropine

PCI - ANSWER: percutaneous coronary intervention

Treatment for hyponatremia - ANSWER: - restrict water intake and promote water
loss
- correct underlying disorder
- replace Na defects

Tx for hyperkalemia - ANSWER: restricting potassium intake, loop diuretics, IV insulin
+glucose(which forces K into the cells), Kayexelate(which binds to K), calcium
gluconate through IV(which reduces membrane potential), or dialysis

TX for Hypokalemia includes - ANSWER: administering potassium. Oral potassium
given in a cup of juice to mask the taste, IV potassium may be administered

Treatment for hypernatremia - ANSWER: fluids

Metoprolol Succinate (short vs long) - ANSWER: Toprol XL

Metoprolol Tartrate (short vs long) - ANSWER: Short

Beta Blockers MOA - ANSWER: Block sympathetic influence on the heart (esp B1
selective), reducing CO and thus BP; also block renin release, stopping RAAS system

RAAS system - ANSWER: Renin is produced by the kidneys in response to impaired
blood flow & tissue perfusion, and converts angiotensinogen in the blood to
angiotensin I; ACE converts angiotensin I to angiotensin II in the lungs. Angiotensin II
then vasoconstricts and stimulates the release of aldosterone. Aldosterone then
promotes Na and water retention as well as K excretion.