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8 Cards in this Set
- Front
- Back
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Your pt is receiving LMWH & Integrilin. He is scheduled to go to the cardiac catholic lab. He c/o HA & dizziness which is new. You suspect:
a. possible cerebral hemorrhage b. hypotension d/t decreased CO c. normal effects of multiple meds d. migraine HA not r/t care |
Answer: a. possible cerebral hemorrhage
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Patient is post CABG. You note narrowed pulse pressure, JVD, and muffled heart tones. You should be prepared for:
a. thoracentesis b. chest tube placement c. pericardiocentesis d. Stat 12 lead EKG |
Answer: c. pericardiocentesis is the most correct answer. a 12 lead EKG may be considered but may delay care
These symptoms are known as Beck's Triad: narrowed pulse pressure, JVD, muffled heart tones |
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Your pt presents within 12 hrs of CP onset & meets criteria for fibrinolytic therapy. The rationale for fibrinolytic therapy is to:
a. relieve CP b. improve coronary perfusion c. prevent cardiac enzyme release d. prevent Cardiomyopathy d/t tissue damage |
Answer: b. Improve coronary perfusion
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Your pt presents within 12 hrs of CP onset & meets criteria for fibrinolytic therapy. Reperfusion can be assumed by which s/sx?
a. CP relief b. arrhythmia onset c. early cardiac enzyme elevations d. all of the above |
Answer: d. all of the above
*There won't be any all of the above on the test |
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Beta Blockers are prescribed for a pt with cardiovascular disease to
a. increase contractility & HR b. decrease O2 demand & increase HR c. decrease HR, contractility, & incidence of V-fib d. increase O2 demand & contractility |
Answer: c. Beta Blockers are prescribed for a pt with CV disease to decrease HR, contractility, and the incidence of v-fib
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A pt is receiving diuretics and dilators for ADHF (acute decompensated heart failure). The nurse should be alert for
a. bradycardia b. decreased U/O c. Hypotension d. Elevated Potassium |
Answer: c. Hypotension
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64 yo female with Hx of diet-controlled DM. C/O shoulder aches & increasing SOB over past 3 days. Ax: crackles 1/3 way up posteriorly, HR 98, BP 210/120, RR 24, SpO2 91%, BNP 1288, cardiac enzymes positive. What is going on & what interventions are needed?
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CHF d/t MI
Diuretics first Antihypertensives: Labetolol, NTG (probably won't help unless > 150 mcg) Pril (ace inhibitor to help afterload) |
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76 yo female Hx of acute exacerbation of CHF. No response to diuretics or NTG. Administration of additional vasodilators should proceed with caution d/t which effect?
a. hypotension d/t decreased venous return b. hypotension d/t increased vascular resistance c. hypotension d/t decreased CO d. hypertension d/t increased vascular resistance |
Answer: a. hypotension d/t decreased venous return
heart is so overwhelmed, it can't get blood out. If no blood is going out, then no blood is coming back in. We dilate the vessels to get more blood back. venous return = SV |
