Term
| for heart transplant patients instead of atropine use --- |
|
Definition
| p>Isoproterenol or in code situation use epi and TCP.
denervation of vagal nerve block all the parasympathetic actions. |
|
|
Term
| pacemaker may compete with patient's on intrinsic rythm |
|
Definition
|
|
Term
| pacer generated QRS not seen |
|
Definition
|
|
Term
pacemaker spikes are seen where they should not occur.
then increase the sensitivity (lower the number) |
|
Definition
|
|
Term
pacer does not pace when the pt actually needs it.
Therefore decrease the sensitivity. |
|
Definition
|
|
Term
| if pt with pacemaker in Afib rvr |
|
Definition
take off from DDD to VVI or DDI
In ddi no p wave tracking |
|
|
Term
|
Definition
| palpitation,canon A wave near syncope, light headnes pt with VOO ...change to DDD |
|
|
Term
| EF most closely represent |
|
Definition
|
|
Term
|
Definition
Reflex tachycardia caused by stretch of right atrial receptors.
The first chamber of the heart which returning venous blood enters is the
right atrium. If the inflow of venous blood increases, it will enter and
distend the right atrium more. Stretch receptors in the wall of the right
atrium detect this increased stretching and send signals reporting this to
the brain. The brain sends instructions back to the heart causing the
heart rate to increase. This increases the output of the heart and
decreases the amount of blood in the right atrium. |
|
|
Term
| diastole comprises what percentage of cardiac cycle |
|
Definition
|
|
Term
| pericarditis - confirming diiagnostic |
|
Definition
|
|
Term
|
Definition
| NSAIDS, corticosteroids, pericardiocenteses |
|
|
Term
|
Definition
| MI patient presented with clenched fist in center of the chest. |
|
|
Term
| Rt upper quad pain and Right shoulder pain |
|
Definition
|
|
Term
| new LBBB in presence of chest pain |
|
Definition
|
|
Term
| A pt with LBBB or 100% paced rythm |
|
Definition
| can not be analysed by EKG |
|
|
Term
| significance of tall peak t waves ( hyper acute Twaves) |
|
Definition
| Hyper kalemia or early stage of AMI |
|
|
Term
|
Definition
| very tall ST segment almost looks like tombstone(rectangle) very serious MI see http://www.chru-lille.fr/samu59/ABC%20of%20ECG%20AMI%20BMJ1.pdf |
|
|
Term
|
Definition
|
|
Term
|
Definition
| NTG iv, heparin GP IIB/IIIA inhibitors( integrillin) |
|
|
Term
| new anterior T wave inversion |
|
Definition
| ischemia take to cath lab now |
|
|
Term
peripheral vasodialator --decreases pre load.also dialate coronary artery. In high doses, decreases blodd pressor, work as arterial vasodialator (in
icu use high dose) |
|
Definition
|
|
Term
| which med is arterial dialator... decreases the after load. |
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
| binds to the receptor and causes a cellular effect (either decrease or increase) |
|
Definition
|
|
Term
| binds to the receptor to prevent th endogenous transmitterfrom binding to the receptor -- no difference |
|
Definition
|
|
Term
| blocks or inhibits the enzyme activity |
|
Definition
|
|
Term
| septic pt with hypotension drug of choice |
|
Definition
| levophed alpha1 receptors |
|
|
Term
| norepinephrin, neosinephrine |
|
Definition
| alpha 1 receptors... vasoconstriction treat with regitine ( alpha receptor inhibitor) |
|
|
Term
|
Definition
|
|
Term
|
Definition
| beta 1 & 2 receptor (HR & contractility) |
|
|
Term
|
Definition
eg of .beta blockers (decrease hr
) |
|
|
Term
| anticholinergic--- blocking AcH,, increasing HR |
|
Definition
|
|
Term
| After load depends on veno or arterio dialtion ? |
|
Definition
|
|
Term
Preload depends on
veno or arterio dialtion ? |
|
Definition
|
|
Term
| treatment of Right ventricular MI |
|
Definition
fluid administratiion to increase the
preload |
|
|
Term
| ST elevation in II III and avF |
|
Definition
|
|
Term
| Med to decrease preload rapidly in pulmonary edema |
|
Definition
| nitroglycerine (morphine and Lasix are weaker agents compared to NTG) |
|
|
Term
| ACE inhibitors are vaso--- |
|
Definition
|
|
Term
| classic symptoms of aortic dissection |
|
Definition
| sudden back pain and syncope |
|
|
Term
|
Definition
|
|
Term
| S/S of ascending aorta annurism |
|
Definition
|
|
Term
| s/s of transverse aorta annurism |
|
Definition
| dyspnea,strider,cough,chest pain JVD |
|
|
Term
| s/s of descending aorta anurism |
|
Definition
|
|
Term
| aortic annurism diagnostic tests |
|
Definition
|
|
Term
| Classic sign of cardiac tamponade |
|
Definition
| equilibration of pressures( PAD, PAWP,RAP) |
|
|
Term
| diagnostic for perforated septum(VST) |
|
Definition
|
|
Term
| which artery involved in Inferior MI |
|
Definition
|
|
Term
| which artery involved in anterior MI |
|
Definition
|
|
Term
| which artery involved in septal MI |
|
Definition
|
|
Term
| which artery involved in Lateral MI |
|
Definition
|
|
Term
| which artery involved inPosterior MI |
|
Definition
| RCA if dominant or circumflex |
|
|
Term
|
Definition
| width of Q wave > 0.038 cm or depth > 25% of R wave |
|
|
Term
| Which drug blocks the s/s of hypoglycemia |
|
Definition
| betablockers ( block sympathetic reaction) |
|
|
Term
| which drug prevents ventricular remodeling after an AMI |
|
Definition
|
|
Term
| which drug helps to prevent sudden cardiac death after AMI |
|
Definition
|
|
Term
| what precautiion shoud be taken when nifidipine administered sublingually |
|
Definition
| do not administer!! banned by FDA d/t several stroke and MI after administration..sudden drop in B/P |
|
|
Term
| most appropriate medication to relieve chest pain in a pt with myocarditis |
|
Definition
morphine.
NSAIDS are contraindicated d/t risk for bleeding and tamponade. |
|
|
Term
| Life threatening dysrythmia often associated with digoxin toxicity |
|
Definition
| paroxysmal junctional tachycardia |
|
|
Term
| A pt developed hypotension,JVD SOB, loud systolic murmur after AMI. what is immediate treatment |
|
Definition
| NTG iv with IABP therapy --- Loud systolic murmur and LHF associated with septal rupture and papillary muscle rupture after AMI. decrease after load. |
|
|
Term
| Pre operative care of pt with aortic dissection |
|
Definition
| titrate nipride and esmolol to maintain map of 70 and HR of 70 |
|
|
Term
|
Definition
|
|
Term
| charecteristics of fluid aspirated from an NG from pleural space |
|
Definition
| pH 6 or greater usually straw color and watery |
|
|
Term
| NSAIDS contraindicate in CHF pt |
|
Definition
| d/t possible water and sodium retention increases CHF |
|
|
Term
| vascular steal syndrome and management |
|
Definition
| blood is shunt away from tissues causing tissue hypoperfusion. mainly pt wih grafts or shunts in the upper arms.apply warm compress and order analgesics. |
|
|
Term
| earliest sign of impending hypovolemic shock |
|
Definition
|
|
