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Medsurg II test I
Cardio
47
Medical
Undergraduate 4
02/01/2009

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Cards

Term
What are the s/s of right sided heart failure?
Definition
Jugular vein distention
Term
1st line of treatment for a newly dx CHF pt?
Definition
ACE inhibitors
Term
s/s of left sided heart failure?
Definition
Dyspnea
Term
What does dobutamine do?
Definition
Increase contractility
Term
Why give oxygen during an MI?
Definition
Oxygen tissues being deprived of oxygen
Term
What is heard with valvular heart disease?
Definition
Murmur
Term
Important info for pt with rhematic heart disease to tell nurse?
Definition
Had strep throat 3 wks ago.
Term
Pt. has no pulse, not breathing, but has bradycardia on monitor, what is this?
Definition
Pulsless electrical activity
Term
Pacemaker teaching?
Definition
Check pulses daily and keep incision clesan
Term
What would a community nurse teach?
Definition
Prompt diagnosis and treatment of strep throat.
Term
Pt. in asystole, what do you give?
Definition
Epinephrine
Term
1st doctors orders for a diagnosis is infective endocarditis?
Definition
Blood cultures x's 3
Term
Pt with pericarditis, what position should they be in?
Definition
Lean forward.
Term
What is orthopnea?
Definition
Difficulty breathing when lying flat.
Term
Pt on low Na diet needs further teaching when?
Definition
Pt states they can have as much milk as they want.
Term
Pt with mitral valve prolapsed and regurgitation, what do you teach?
Definition
Antibiotic prophylactic.
Term
Pt. on dig. What do you teach?
Definition
To monitor and report nausea and fatigue.
Term
Before giving corvert, check which electrolyte?
Definition
Mg
Term
Impaired perfusion is caused by?
Definition
Decreased cardiac output
Term
Cardiac tamponade?
Definition
Decreased pulse pressure
Term
Leads II, III, and AVF show the?
Definition
Right coronary artery.
Term
Before defibrillating?
Definition
Say clear 3 times.
Term
To defibrillate make sure?
Definition
Sync mode is off.
Term
Pt with xenograft valve replacement?
Definition
Made from bovine and procine, and do not need anticoagulants.
Term
Angina is caused by?
Definition
Atherosclerosis
Term
S/s of angina in elderly?
Definition
Dyspnea
Term
Exercise helps cholesterol levels by?
Definition
Decreasing triglycerides and increasing HDL.
Term
Aspirin?
Definition
Prevents platelet aggregation
Term
Pt is saved from an episode of v-tach. How do you explain?
Definition
Had heart complication which treatment was able to reverse.
Term
Diagnosis for pain during MI?
Definition
Ineffective cardiac tissue perfusion.
Term
Pt has an episode of angina, nurse should?
Definition
Tell pt to keep legs straight b/c it is an artery and complications can occur.
Term
Pt with mitral regurgitation. What do you give?
Definition
ACE inhibitors
Term
Red/purple flat painless macules are called?
Definition
Janeway lesions.
Term
Before dental procedures, pt needs?
Definition
Amoxicillin
Term
BNP is a key diagnostic for?
Definition
Heart failure
Term
Pt on ACE inhibitor?
Definition
Monitor for hyperkalemia.
Term
Pink, frothy sputum?
Definition
Pulmonary edema
Term
Candidate for thrombolytic therapy?
Definition
Chest pain for 3 hours unrelieved by nitro.
Term
Metabolic syndrome markers
Definition
(don't remember question, but was select all that apply).
Term
Pt on nitro, teach?
Definition
Keep in original dark glass container.
Term
Pt has infection and develops a murmur suspect?
Definition
Endocarditis
Term
Call MD if?
Definition
Gain of 2-3 lbs in 2 days.
Term
CABG usually use?
Definition
Greater saphenous vein
Term
How do you know lasix is working?
Definition
Decreased crackles
Term
Right sided failure can have?
Definition
Pulmonary emboli
Term
A patient is in sinus tach. What would you expect to give them?
Definition
Adenosine.
Term
A pt is in v-tach. What would you expect to give them?
Definition
Amiodorone
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