| Chest Pain | Hemodynamics | Shock | Heart Failure & CV Surg | Grab Bag |
|---|---|---|---|---|
|
What is ST elevation in contiguous leads?
This designates a STEMI on an ECG
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What is right sided heart failure?
An elevated CVP signifies this kind of heart failure.
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What is loss of sympathetic tone?
This is the reason that patients develop neurogenic shock (broad. Aka. the answer is not spinal cord injury)
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What is the inability of the heart to pump blood forward?
The definition of heart failure.
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What is coronary artery bypass graft surgery?
The best option for a patient to revascularize the heart with multiple occlusions.
|
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What is chest pain going away with rest, worsening chest pain, unrelieved by nitroglycerine, etc?
The difference between stable and unstable angina.
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What is the fourth intercostal space, midaxillary line?
This is the location of the phlebostatic axis.
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What is vasodilation?
This is why patients with anaphylactic shock have a drop in blood pressure.
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What is BNP?
The lab that diagnosis heart failure.
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What is check pulses distally, check perfusion to organs, sensation, color, cap refill, etc?
What to do if worried about ischemia from a hemodynamic monitoring line or mechanical assistive device?
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What is to look at the arteries of the heart, and open them back up if they are occluded?
This is the reason we take patients to have percutaneous catheterization intervention (PCI).
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What is the during placement to ensure it is in the correct position, and during wedge determination?
This is when it is normal to see the wedge waveform on the PA catheter monitor. (2)
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What is a large-bore IV?? Maybe even two??
This is the best way to facilitate fluid administration in our hypovolemic shock patients.
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What is reduced preload?
The most common cause of low cardiac output after cardiovascular surgery.
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What is check the level of the transducer?
What the nurse should do if her patients CVP jumps from normal to high values with seemingly no reason and patient assessment is okay.
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What is a 12-lead ECG?
This is the fastest way to determine that a patient is having a STEMI.
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What is C?
You have a patient in cardiogenic shock getting many IV medications. This indicates improvement in symptoms. Options: A. Systolic BP increases to 100, B. Heart rate is 84, C. PAOP is WNL, or D. Troponin and CKMB decrease
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What is finding and riding the body of infection?
This is the main goal of septic shock.
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What is temperature higher than 101 for a prolonged period of time?
Signs of infection after cardiac surgery.
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What are V1-V4?
The leads associated with an anterior MI.
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What are facial trauma, uncontrolled hypertension, ischemic stroke within 3 months?
Three contraindications to fibrinolytics.
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What is low fluid volume and fluid bolus or blood products?
You have a post-op CABG patient with a blood pressure of 82/40, and CVP of 2. This is the reason and intervention.
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What is epinephrine IM?
The first medication that should be given in anaphylactic shock.
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What is prosthetic valve?
This type of valve requires lifelong blood thinner medications.
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What are thrombosis, plaque rupture, and spasm near plaque?
The three causes of a myocardial infarction.
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