Shared Flashcard Set

Details

Cardiac Review
Test Review
32
Nursing
Undergraduate 3
11/30/2016

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Cards

Term
How can you prevent myocarditis?
Definition
immunizations
Term
What lab is checked with furosemide?
Definition
potassium
Term
Pt hemorrhages with cardiac cath, what do you do?
Definition
assess pt, then hold pressure
Term
What class of meds are given with pericarditis?
Definition
NSAIDS
Term
What lab should be checked for a pt with mechanical heart valve?
Definition
INR
Term
For heart failure pt what is the highest level of concern?
Definition
altered LOC & restlessness
Term
What lab is checked in heart failure pt?
Definition
BNP
Term
Why cardiac cath for pt with with chest pain?
Definition
vessel patency
Term
Most common antiplatelet?
Definition
Plavix (used for pt with stents)
Term
Blood test that shows pt needs cath lab?
Definition
Troponin
Term
Which rhythms need d-fib pacemaker?
Definition
VFIB & VTACH
Term
Pt in ED with increased HR, chest pressure, & everything else normal. What should you do?
Definition
Therapeutic communication
Term
What do you do before cardioverting an AFIB pt?
Definition
Sync with R
Term
How do you document a parkinsons pt on tele with all bad strips?
Definition
Artifact
Term
When do you stop giving nitro? (& no pain)
Definition
ST segment returns to baseline
Term
What are the 2 things to remember with pt who comes in with chest pain for more than 6 hours?
Definition
No TPA/thrombolytics & more tissue damage due to increased time
Term
When giving sublingual nitro, why would you not give the 3rd dose?
Definition
Systolic <90 or HR <60
Term
What pts present with atypical symptoms during an MI?
Definition
Women & Diabetics
Term
What do you tell a pt with SOB, chest pain, diaphoretic, cold, and clammy?
Definition
Chew and swallow a baby aspirin
Term
MI cause?
Definition
Narrowing of vessel and clot
Term
COPD pt with pH 7.5, SpO2 98%, room air, respirations 22. What is the highest priority?
Definition
pH, pt not taking in enough O2
Term
Decreased PCO2, increased pH
Definition
Respiratory Alkalosis
Term
COPD pt with change in mental status. What is the primary assessment?
Definition
Check ABGs (HCO3 &pH decrease)
Term
When is the TB test read?
Definition
48-72 hours
Term
What if the patient speaks a foreign language?
Definition
get interpreter
Term
3 TB precautions:
Definition
droplet, N95 mask, negative pressure room
Term
Lab test to check for chronic AFIB with evidence of a PE?
Definition
Check INR (to check Coumadin effectiveness)
Term
Patient INR is not in therapeutic range with chronic afib, what do you do?
Definition
Start heparin drip
Term
Therapeutic PTT
Definition
60-80 (heparin)
Term
INR range
Definition
2-3 (Coumadin)
Term
Dopamine antidote
Definition
pintothalamin
Term
Medication for symptomatic bradycardia
Definition
atropine
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