NR 341 - Exam 2 - CAS Review questions with answers

NR 341 - Exam 2 - CAS Review questions
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with answers |\




Acute Coronary Syndrome - CORRECT ANSWERS ✔✔- pain down
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left arm, diaphoretic, holding chest
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- EKG(not diagnostic) could be normal
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- women back pain, epigastric pain as well as fatigue
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- NSTEMI, STEMI
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- unstable angina
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- chest pain <20 min MI
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MONA - CORRECT ANSWERS ✔✔- morphine (vasodilates)
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- oxygen
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- nitro
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- aspirin
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Nitro - CORRECT ANSWERS ✔✔- can be given 3x every 5 minutes,
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check BP
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- angina fixed no MI
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Beta Blockers - CORRECT ANSWERS ✔✔lower bp, hr and O2
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demand


Troponin - CORRECT ANSWERS ✔✔if elevated, MI
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,Cath Lab Meds - CORRECT ANSWERS ✔✔- plavix
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- heparin
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- integralin
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- aspirin
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If you get a STENT... - CORRECT ANSWERS ✔✔- beta blockers
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- no smoking
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- cardiologist follow up
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Left Ventricle doesn't work - CORRECT ANSWERS ✔✔- no cardiac
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output
- need LVAD
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Ejection Fraction - CORRECT ANSWERS ✔✔amount left in left
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ventricle after contraction |\ |\




Unstable Angina - CORRECT ANSWERS ✔✔- send home w/ nitro
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- no viagra
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- stay in hospital, watch troponin
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Bradycardia Treatment - CORRECT ANSWERS ✔✔- atropine start |\ |\ |\ |\ |\ |\ |\ |\


with .5 mg |\ |\ |\




- repeat every 3-5 minutes up to 3 mg
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- dopamine (drop last number of weight
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, - epinephrine
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- transcutaneous pacing (sedate)
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Synchronized Cardioversion - CORRECT ANSWERS ✔✔- consent
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- sedate
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- less electricity than defib
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- must have a pulse
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Defibrilation - CORRECT ANSWERS ✔✔pulseless vtach and vfib
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Afib-Coumadin - CORRECT ANSWERS ✔✔- frequent labs |\ |\ |\ |\ |\ |\




- dietary limitation
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Patient has pulse and now doesn't... - CORRECT ANSWERS
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✔✔NOTIFY physician |\




MAP - CORRECT ANSWERS ✔✔- mean arterial pressure
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- how adequately tissues are perfused
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- want it to be 65
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- less than 50 - MODS
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- 2(systolic)+diastolic/3
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-70-105


CVP - CORRECT ANSWERS ✔✔- central venous pressure
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