ATI Surgical Client Test| ATI Care of Surgical Patient
Test| ATI Surgical Client Test| Q-Bank| With Complete
Solutions
ICD - ANSWERimplantable cardioverter-defibrillator
pleural effusion - ANSWERaccumulation of fluid in the pleural cavity
What is an alcohol septum ablation? - ANSWERA 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? - ANSWERHypertrophic cardiomyopathy
NARD stands for - ANSWERNo acute respiratory distress
What does a higher BNP level indicate? - ANSWERThat more of the Bnp proteins are
having to be released into the bloodstream indicating heart failure
What is BNP relation to the kidneys? - ANSWERIt's filtered through the kidney so
high levels can indicate that kidneys aren't functioning properly
Pericardial effusion - ANSWERaccumulation of fluid in the pericardial cavity
pericardial window - ANSWERRemoval of an accumulation of blood or fluid in the
pericardium to improve cardiac function
Heparin antidote - ANSWERprotamine sulfate
What is cardioplegia? - ANSWERCold solution over the heart that stops it for CABG
procedure
AVR stands for ______. - ANSWERAortic valve replacement
Pulmonary embolus - ANSWERBlockage of the pulmonary artery or one of its
branches due to a translocated clot
thrombectomy - ANSWERsurgical removal of a blood clot
TAVR abbreviation - ANSWERTrans catheter aortic valve replacement
Don't give dil if an EF is below ___. Why? - ANSWER30%. Causes acute kidney injury
First degree AV block - ANSWERprolonged PR interval
, Second degree type 1 - ANSWERif the PR interval elongates
Second degree type 2 - ANSWERP 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) - ANSWERTotally 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? - ANSWERAtropine
PCI - ANSWERpercutaneous coronary intervention
Treatment for hyponatremia - ANSWER- restrict water intake and promote water
loss
- correct underlying disorder
- replace Na defects
Tx for hyperkalemia - ANSWERrestricting 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 - ANSWERadministering potassium. Oral potassium
given in a cup of juice to mask the taste, IV potassium may be administered
Treatment for hypernatremia - ANSWERfluids
Metoprolol Succinate (short vs long) - ANSWERToprol XL
Metoprolol Tartrate (short vs long) - ANSWERShort
Beta Blockers MOA - ANSWERBlock sympathetic influence on the heart (esp B1
selective), reducing CO and thus BP; also block renin release, stopping RAAS system
RAAS system - ANSWERRenin 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.
Amiodarone MOA - ANSWERInhibits alpha and beta adrenergic receptors, producing
vasodilation and AV nodal suppression (this slows conduction through the AV node)
Inhibits the outward potassium current so it prolongs the QT duration
Test| ATI Surgical Client Test| Q-Bank| With Complete
Solutions
ICD - ANSWERimplantable cardioverter-defibrillator
pleural effusion - ANSWERaccumulation of fluid in the pleural cavity
What is an alcohol septum ablation? - ANSWERA 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? - ANSWERHypertrophic cardiomyopathy
NARD stands for - ANSWERNo acute respiratory distress
What does a higher BNP level indicate? - ANSWERThat more of the Bnp proteins are
having to be released into the bloodstream indicating heart failure
What is BNP relation to the kidneys? - ANSWERIt's filtered through the kidney so
high levels can indicate that kidneys aren't functioning properly
Pericardial effusion - ANSWERaccumulation of fluid in the pericardial cavity
pericardial window - ANSWERRemoval of an accumulation of blood or fluid in the
pericardium to improve cardiac function
Heparin antidote - ANSWERprotamine sulfate
What is cardioplegia? - ANSWERCold solution over the heart that stops it for CABG
procedure
AVR stands for ______. - ANSWERAortic valve replacement
Pulmonary embolus - ANSWERBlockage of the pulmonary artery or one of its
branches due to a translocated clot
thrombectomy - ANSWERsurgical removal of a blood clot
TAVR abbreviation - ANSWERTrans catheter aortic valve replacement
Don't give dil if an EF is below ___. Why? - ANSWER30%. Causes acute kidney injury
First degree AV block - ANSWERprolonged PR interval
, Second degree type 1 - ANSWERif the PR interval elongates
Second degree type 2 - ANSWERP 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) - ANSWERTotally 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? - ANSWERAtropine
PCI - ANSWERpercutaneous coronary intervention
Treatment for hyponatremia - ANSWER- restrict water intake and promote water
loss
- correct underlying disorder
- replace Na defects
Tx for hyperkalemia - ANSWERrestricting 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 - ANSWERadministering potassium. Oral potassium
given in a cup of juice to mask the taste, IV potassium may be administered
Treatment for hypernatremia - ANSWERfluids
Metoprolol Succinate (short vs long) - ANSWERToprol XL
Metoprolol Tartrate (short vs long) - ANSWERShort
Beta Blockers MOA - ANSWERBlock sympathetic influence on the heart (esp B1
selective), reducing CO and thus BP; also block renin release, stopping RAAS system
RAAS system - ANSWERRenin 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.
Amiodarone MOA - ANSWERInhibits alpha and beta adrenergic receptors, producing
vasodilation and AV nodal suppression (this slows conduction through the AV node)
Inhibits the outward potassium current so it prolongs the QT duration
