-
normal heart sounds
s1 s2
-
the s1 heart sounds corresponds to
closure of the av valves
-
tachycardia is classified as
>100BPM
-
pericardiocentesis is used for
cardiac tamponade
-
a sleeping pt HR is 56 bpm. what should nurse do
awaken pt and retake the HR
-
ECG rhythm rate 80bpm, regular 1:1 relationship of P:QRS, PR interval of 0.16, QRS measurement of 0.08. This is evidence of what kind of rhythm?
Normal sinus rhythm
-
Client has a pacemaker that creates a pacer spike before each QRS when intrinsic HR falls below 70. The nurse knows that this is:
Normal, because demand pacemaker is responding to heartrate drop at the preset level
-
It is significant when a pt who is being
examined for heart failure states:
I have to prop myself up on 3 pillows to sleep at night. I cannot breath otherwise
-
The appropriate landmark when calibrating leveling hemodynamic monitoring equipment is:
Right atrial position at the 4th intercostals space, midclavicular line
-
Patient in ICU, what type of monitoring is
used to watch the patients fluid volume?
cvp
-
Patient with dyspnea, orthopnea, cyanosis,
clammy skin, productive cough with pink frothy sputum and crackles, what should
the nurse look for?
pulm edema
-
Most important first action the nurse should initiate on a client who arrives at the hospital in pulmonary edema is?
o2 and pulse ox
-
cardiac tamponade is tx with
pericardiocentisis
-
Mrs Jones is pulseless with rhythm with visible P waves, a narrow QRS, a rate of 130 bpm. What is the description of her rhythm?
pea
-
normal PR interval
0.12-0.20
-
A rhythm originating in (SA) node with a rate of 112 is:
sinus tachy
-
A sawtooth waveform of atrial flutter is formed by a irritable focus in the:
atrial tissue
-
Quivering of the atria in atrial fibrillation results in:
loss of atrial kick
-
What is assessed to monitor for injury to cardiac muscle?
STsegment
-
What is a complication of prolonged tachycardia?
Decreasecardiac output
-
Which patient could possibly require a pacemaker?
45year old male with Hx of acute MI, heart rate 45 , bp 80/50
-
vagal stimulation results in
decreased HR
-
temporary demand type ventricular pacemaker set at 60 b/min. What is a concern?
A pacemaker spike is seen on the T wave of the preceding beat.
-
spike not followed by QRS, what complication is this
failure to capture
-
Nurse is caring for a patient following
insertion of an arterial line. To reduce risk of complications, what is the
priority nursing intervention?
ensure all tubing connection are tightened
-
CVC which requires nursing action
numbness and tingling
-
normal QRS duration
0.6-0.10
-
insert L sub CV what requires immediate action
diminished breath sounds of the L lung
-
to tx vent dysrhytmia for a layperson is to use
aed
-
pt with dx of AMI, the ECG monitor shows a flatline. what should the nurse do first
check the pt for unresponsiveness
-
pt with abrupt onset of SVT. drug with short half life to use is
adenosine
-
monitor..stat, pt has rapid, chaotic rhythm VT, what is the first action
check pt's meds
-
an emergency indication for subq pacemaker is
bradycardia with HTN-syncope
-
the drug of choice w/ ventricular ectopy
lidocaine
-
what is an appropriate intervention for a pt what a transcutaneious pacemaker
provde adequate sedation and analgesia
-
pt with pea pericardial tamponade, the tx is
pericardiocentisis
-
what is the most characteristic with L sided heart failure
dyspnea and crackels
-
pt come to ed 48 yo CP for 2 hr, HR 70 what is not indicated
emergent pacemaker insertion
-
72 yo woman in ed, family states she just isnt herself. resp are slightly labored. sinus tach 110, frequent premature contractions, denies CP, jaw pain back pain or nausea. troponin levels elevated. elevated ST segment. Dx:
silent MI
-
pt present to ed just left hospital week ago after having stroke, chest pressure started 12 hrs ago, ST depression in inferior leads. troponin and CK-MB are both elevated. what is true of thrombolysis
the pt is not a candidate for thrombolysis
-
what does the QRS complex represent
vent depol
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