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CRNA Board Review--Cardiac
CRNA Board Review
31
Nursing
Graduate
01/02/2010

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Cards

Term
QT interval is prolonged by what electrolyte imbalance?
Definition
Hypocalcemia
Term
Blockage of the circumflex artery will affect what area of the heart? Which leads will show this best?
Definition
The lateral area; leads aVL, V5-V6
Term
Which nerve carries impulses from the carotid baroreceptors?
Definition
Glossopharyngeal
Term
Which nerve carries impulses from the aortic arch baroreceptors?
Definition
Vagus
Term
Nitric oxide is derived from which amino acid?
Definition
L-arginine
Term
Nitric oxide stimulates production of which second messenger?
Definition
cGMP
Term
Dobutamine causes increased contractility via which second messnger increase?
Definition
cAMP
Term
What is the resting potential of the cardiac ventricular cell?
Definition
-90mV
Term
What is the resting potential of the SA nodal cells?
Definition
-70
Term
What phases are missing in nodal cell action potentials?
Definition
1,2
Term
Which phase does digitalis work on to slow heart?
Definition
Phase 4 (poisons the Na/K pump)
Term
On what phase do CCB's work to slow heart rate?
Definition
Phase 4
Term
On what phase does lidocaine work to control ventricular dysrhythmias?
Definition
Phase 4
Term
On what phase do CCBs work in cardiac myocytes?
Definition
in phase 2 (clinically insignificant)
Term
What will you see on EKG with a RBBB?
Definition
Rabbit ears in lead V1
Term
What will you see on EKG with a LBBB?
Definition
Rabbit ears in V6
Term
What does hypocalcemia do to QT interval?
Definition
Prolongs it it
Term
What does hypercalcemia do to QT interval?
Definition
Lengthens it
Term
What do u-waves represent?
Definition
Hypokalemia
Term
How is WPW syndrome seen on an EKG? What drugs should be avoided?
Definition
Short PR interval; avoid Dig and verapamil
Term
Which leads represent the posterior and inferior walls?
Definition
avF, II, III
Term
Which leads represent the septum and anterior wall?
Definition
V1-V5
Term
Which leads represent the lateral wall?
Definition
avL, V4-6, I
Term
What enzyme produces NO from arginine?
Definition
Nitric oxide synthase
Term
Where is NO produced?
Definition
Walls of the vascular endothelium
Term
N.O. leads to an increase in what substance in the cell (causes vasodilation)
Definition
cGMP
Term
What 3 things will worsen IHSS obstruction?
Definition
1. Decreased afterload
2. Decreased preload
3. Increased contractility
Term
What are the goals for Aortic Regurg?
Definition
HR 80-100, increased preload, decreased afterload
Term
What are the goals for mitral regurg?
Definition
HR 80-100, maintain preload, decrease afterload
Term
What % of mitral regurg is associated with mild symptoms? Moderate? Sever?
Definition
Mild < 30%
Moderate 30-60%
Severe > 60%
Term
What are the goals of treatment for aortic stenosis?
Definition
HR 60-80, maintain afterload/preload
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