Term
| What EKG reading indicate an MI? |
|
Definition
T wave inversions - ischemia
S-T segmant depression/elevation - injury
Q wave - transmural injury |
|
|
Term
What are the Nursing Interventions for Sodium Channel Blockers?
ie. Lidocaine |
|
Definition
MOnitor the QRS for inc. interval > 50% (ie. QRS that is initially 0.12 sec goes to 0.24 sec) must be reported and drug stopped!!!
Monitor BP for drop that may be due to possible drop in cardiac output
Do not use for serious life threatening dysrhymias - potential for worsening dysrythmias! |
|
|
Term
| What are the nursing considerations for beta blockers? |
|
Definition
| Monitor blood glucose meds may mask sx. of hypoglycemia |
|
|
Term
| What are the therapeutic levels of digoxin? |
|
Definition
|
|
Term
| What does Adenosine treat and what are the considerations? |
|
Definition
Treats SVT only (Supraventricular Tachycardia)
S/E's - bradycardia to asystole
Half life is < 10 sec. given rapid IV push |
|
|
Term
| What are the S/S of rt. sided heart failure? |
|
Definition
Edema
Fatigue
Distended Neck Veins |
|
|
Term
| What are the S/S of left sided heart failure? |
|
Definition
Anxiety
Air Hunger
Crackles
Gallop Rhythm S3,S4 |
|
|
Term
| What are the S/S of chronic heart failure? |
|
Definition
| SOB, Peripheral Edema, Chronic fatigue, Difficulty sleeping r/t breathing problems, Cough w/ frothy sputum, confusion and/or impaired memory |
|
|
Term
| What are the goals of pt care w/ HF? |
|
Definition
Decreasing CIrculatory Volume
Semi Fowlers to High Fowlers -
Diuretics (Lasix)
ACE Inhibitors
Low Na diet
Digoxin
Dopamine
Beta Blockers/Calcium Channel Blockers |
|
|
Term
| What is the PTT for heparin? |
|
Definition
1 1/2 - 2 x control
Normal or control @ 30 sec.
Antagonist: Protamine sulfate |
|
|
Term
| What is nornal Pt & Inr for Coumadin therapy? |
|
Definition
PT = 12
(Therapeutic 1 1/2 - 2 x the normal)
INR = 2 - 3
Antagonist- Vitamin K |
|
|
Term
| What are the charcacteristics of Arterial Ulcers? |
|
Definition
Location: Tips of toes, heels. pressure areas
Very painful
Deep, circular
Pale to black color |
|
|
Term
| What are the characteristics of Venous Ulcers? |
|
Definition
Location: medial or lateral anterior tibula
malodorous
minimal pain
superficial, irregular shape
beefy red, yellow base |
|
|
Term
| What are normal PR and QRS intervals? |
|
Definition
PR interval = 0.12 - 0.20 sec.
QRS interval = 0.04 - 0.12 sec. |
|
|
Term
| What is the treatment for Sinus Bradycardia? |
|
Definition
ALL - Atropine IV Push
PEOPLE - Pacing (pacemaker)
DO - Dopamine IV drip
EAT - Epinephrine IVP |
|
|
Term
| What is the treatment for Sinus Bradycardia? |
|
Definition
| ALL - Atropine IV Push PEOPLE - Pacing (pacemaker) DO - Dopamine IV drip EAT - Epinephrine IVP |
|
|
Term
| What are the problems and Tx. for A Fib? |
|
Definition
Problems:
Staitc blood flow
CVA
Angina MI |
|
|
