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CEN Notes 1
CEN study notes
14
Nursing
Graduate
12/12/2010

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Term
Sudden onset of tearing chest pain?
Definition
Could indicate an aortic dissection. Take BP in both arms, left should be higher than right by 20mmHg or more due to turbulent blood flow through the aorta during systole.
Term
12 Lead - Lateral MI?
Definition
Leads I, AVL, V5, and V6
Term
12 lead - Anterior MI
Definition
Leads V1, V2, V3, V4
Term
12 Lead - Posterior MI
Definition
Reciprocal changes are exhibited in leads V1 and V2.
Term
12 Lead - inferior MI
Definition
Lead II, III, and AVF
Term
WPW syndrome?
Definition
Wolff-Perkinson-White syndrome occurs when there is an extra electrical conduction pathway in the heart causing the electrical signal to arrive at the ventricle too soon. These pts typically present with tachycardias and other cardiac symptoms.
Term
Wellens' Syndrome
Definition
ECG's of pts with this syndrome lack Q waves and significant ST-segment elevation. This is associated with critical, proximal left anterior descending artery stenosis.
Term
Ludwig's angina
Definition
usually resulting from a secondary dental infection, can lead to airway problems, but it does not affect the ECG
Term
primary goal of therapy of ACS?
Definition
identification of criteria for early reperfusion therapy
Term
preferred treatment of symptomatic bradycardia
Definition
transcutaneous pacing
Term
What elevated lab value supports a Dx of CHF?
Definition
B-type natriuretic peptide (BNP)
Term
A-Fib with RVR initial treatment?
Definition
as long as the pt is stable, rate control should be attempted with medication. Rhythm conversion may or may not occur.
Term
a 15 lead ECG indicates a right ventricular MI. If you give nitrates, it may lead to...
Definition
severe hypotension. In RVMI, there is right ventricular dilation and decreased contractility, which results in decreased preload and cardiac output
Term
what symptom of ACS is often reported by elderly pts
Definition
dyspnea
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