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64 Cards in this Set

  • Front
  • Back

Normal MAP (mean arterial pressure)

60-70 is needed to maintain perfusion of major body organs

Normal cardiac output

4-7 L/min

Typical symptoms of MI

Chest pain or pressure, ashey skin color, diaphoresis, anxiety

Where is the aortic valve ausculated

Second intercostal space at the right sternal boarder.

Where is the apical pulse palpated

Fifth intercostal space at right sternal boarder

Normal troponin levels

Less than 0.03 by/mL


Elevated levels indicated myocardial damage


Test for actute coronary syndrome

Ideal C-reactive protein level

Less than 1 mg/dL


Test for coronary artery disease


Elevation indicative of inflammation

Normal right arterial pressure

0-5 mm Hg

Normal Potassium level

3.5-5.0

Normal calcium levels

8.5-10.5

Normal Magnesium levels

1.7-2.4

Normal myoglobin

Less than 90


Test for acute coronary syndrome

Normal triglycerides

Less than 150


Test for coronary artery disease

Normal lipoprotein

18


Test for coronary artery disease

Pericarditis

Relived when sitting up or forward


May appear abruptly


Relived by anti-inflammatory drugs

Effects of metoprolol

Decreased HR, BP, and myocardial oxygen demand

What should a pt experiencing atrial fib recieve

Antidysrhythmic and anticoagulant

What is digoxin used for

Treatment of atrial fibrillation

What is Dobutamine used for

Improve CO may cause tachycardia.


What is Clonidine used for

Treatment of hypertension

A pt at risk for bradydysrhythmias should...

Take a stool softener to avoid bearing down.

What is a P wave

Generated by SA node.


Represents atrial depolariazation

What is the QRS complex

Represents ventricular depolarization

What is the PR interval

Time required for atrial depolarization and for impulse delay in AV node and travel time to purkinje fibers

What does ST elevation indicate

Myocardial injury

Expected outcome following atropine

Increased HR

Loss of capture

Occurs when pacing spike is not followed by appropriate response

Sinus tacycardia

Over 100 bpm

Normal sinus

60-100 bpm

Sinus bradycardia

Less than 60 bpm

Early QRS indicates...

Sinus rhythm with premature ventricular contraction

What does Digoxin cause

Bradycardia

Normal serum sodium

135

Normal serum creatinine

1.0

Normal serum magnesium

1.9

Normal BNP

Less than 100

Normal ejection fraction

50-75%

Normal serum digoxin levels

0.8-2.0

What is dopamine used for

Raise BP


Increase HR

What is Enalapril (Vasotec) used for

In hypertensive emergencies intravenously

What is sodium nitroprusside (Nipride) used for

May be used IV to lower BP in hypertensive emergencies

What is clevidipine used for

Used in hypertensive emergencies of oral therapy was not feasible.

Optimal LDL-C

Less than 100

What are the cardiac markers used to determine whether MI has occured

CK-MB and troponin

Interventions for acute MI

Morpine Sulfate, oxygen, nitroglycerin

Definition of unstable

Acute change in LOC, profound hypotension, shock, ischemic chest pain, CHF

What to use in SVT when stable

Denosine

Antidysrhythmics

Amioderone, lidocan, sotolol

When to use syncronized vs unsyncronized cardioversion

Synchronized when stable


Unsyncronized when no pulse

What to do in asystole

Do not shock.


Give Epi

What to do in V-tach

Stable meds


Unstable shock

What to do in V-fib

Unstable defib

What does atropine do

Speeds up conduction of the heart

Stable (narrow)

Adenosine


Beta blocker


Calcium Channel blockers

Stable (wide)

Amioderone


Sodolol

Stemy

Elevated ST segment 1-2 mm above line

Normal PR interval

0.12-.20 seconds

Normal QT interval

0.36-0.44

Normal QRS complex

.06-.10 seconds

Medication used for sustained supraventricular tachycardia

Diltiazem

Expected therapeutic response to adenosine

Short period of asystole, bradycardia, hypotension, dyspnea, and chest pain.

Contribution of atrial kick to ventricular filling

20%

Predominant form of PCI

Stents

Description of capillary

Small diameter low pressure