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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 |
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Typical symptoms of MI |
Chest pain or pressure, ashey skin color, diaphoresis, anxiety |
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Where is the aortic valve ausculated |
Second intercostal space at the right sternal boarder. |
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Where is the apical pulse palpated |
Fifth intercostal space at right sternal boarder |
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Normal troponin levels |
Less than 0.03 by/mL Elevated levels indicated myocardial damage Test for actute coronary syndrome |
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Ideal C-reactive protein level |
Less than 1 mg/dL Test for coronary artery disease Elevation indicative of inflammation |
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Normal right arterial pressure |
0-5 mm Hg |
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Normal Potassium level |
3.5-5.0 |
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Normal calcium levels |
8.5-10.5 |
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Normal Magnesium levels |
1.7-2.4 |
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Normal myoglobin |
Less than 90 Test for acute coronary syndrome |
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Normal triglycerides |
Less than 150 Test for coronary artery disease |
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Normal lipoprotein |
18 Test for coronary artery disease |
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Pericarditis |
Relived when sitting up or forward May appear abruptly Relived by anti-inflammatory drugs |
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Effects of metoprolol |
Decreased HR, BP, and myocardial oxygen demand |
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What should a pt experiencing atrial fib recieve |
Antidysrhythmic and anticoagulant |
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What is digoxin used for |
Treatment of atrial fibrillation |
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What is Dobutamine used for |
Improve CO may cause tachycardia. |
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What is Clonidine used for |
Treatment of hypertension |
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A pt at risk for bradydysrhythmias should... |
Take a stool softener to avoid bearing down. |
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What is a P wave |
Generated by SA node. Represents atrial depolariazation |
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What is the QRS complex |
Represents ventricular depolarization |
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What is the PR interval |
Time required for atrial depolarization and for impulse delay in AV node and travel time to purkinje fibers |
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What does ST elevation indicate |
Myocardial injury |
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Expected outcome following atropine |
Increased HR |
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Loss of capture |
Occurs when pacing spike is not followed by appropriate response |
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Sinus tacycardia |
Over 100 bpm |
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Normal sinus |
60-100 bpm |
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Sinus bradycardia |
Less than 60 bpm |
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Early QRS indicates... |
Sinus rhythm with premature ventricular contraction |
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What does Digoxin cause |
Bradycardia |
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Normal serum sodium |
135 |
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Normal serum creatinine |
1.0 |
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Normal serum magnesium |
1.9 |
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Normal BNP |
Less than 100 |
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Normal ejection fraction |
50-75% |
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Normal serum digoxin levels |
0.8-2.0 |
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What is dopamine used for |
Raise BP Increase HR |
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What is Enalapril (Vasotec) used for |
In hypertensive emergencies intravenously |
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What is sodium nitroprusside (Nipride) used for |
May be used IV to lower BP in hypertensive emergencies |
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What is clevidipine used for |
Used in hypertensive emergencies of oral therapy was not feasible. |
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Optimal LDL-C |
Less than 100 |
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What are the cardiac markers used to determine whether MI has occured |
CK-MB and troponin |
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Interventions for acute MI |
Morpine Sulfate, oxygen, nitroglycerin |
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Definition of unstable |
Acute change in LOC, profound hypotension, shock, ischemic chest pain, CHF |
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What to use in SVT when stable |
Denosine |
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Antidysrhythmics |
Amioderone, lidocan, sotolol |
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When to use syncronized vs unsyncronized cardioversion |
Synchronized when stable Unsyncronized when no pulse |
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What to do in asystole |
Do not shock. Give Epi |
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What to do in V-tach |
Stable meds Unstable shock |
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What to do in V-fib |
Unstable defib |
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What does atropine do |
Speeds up conduction of the heart |
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Stable (narrow) |
Adenosine Beta blocker Calcium Channel blockers |
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Stable (wide) |
Amioderone Sodolol |
|
Stemy |
Elevated ST segment 1-2 mm above line |
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Normal PR interval |
0.12-.20 seconds |
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Normal QT interval |
0.36-0.44 |
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Normal QRS complex |
.06-.10 seconds |
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Medication used for sustained supraventricular tachycardia |
Diltiazem |
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Expected therapeutic response to adenosine |
Short period of asystole, bradycardia, hypotension, dyspnea, and chest pain. |
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Contribution of atrial kick to ventricular filling |
20% |
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Predominant form of PCI |
Stents |
|
Description of capillary |
Small diameter low pressure |