Campus Collusion
Review Questions for Test Preparation

       
    

  



Cardiopulmonary BasicsMedical-Surgical Nursing-7th edition

Review Online for Free
Lies about Study Techniques: Believe them at your own risk.
www.NursingInAFlash.com

Page 4
Skip Navigation Links
Question Answer
What are signs and symptoms of angina pectoris?
Show Answer
Aching, sharp, tingling or burning; pressure ; left sided chest pain, can radiate to jaw, neck and back. *Relieved with rest and/or nitroglycerin.
What are signs and symptoms of right-side heart failure?
Show Answer
Weight gain, distended neck veins, hepatomegaly, splenomegaly, and dependent peripheral edema.
What is a normal CK for both males and females?
Show Answer
Males: 55-170 units/L and Females: 30-135 units/L
_______ is a sudden rapid onset of tachycardia originating above the AV node. Can be caused by excitement, fatigue, caffeine, smoking, etc...
Show Answer
Paroxysmal Supraventricular Tachycardia
_______ and _______ are life threatening rhythms that require immediate interventions.
Show Answer
Ventricular tachycardia; ventricular fibrillation
What could increase a QT interval?
Show Answer
Hypocalcemia and drugs (disopyramide/amiodarone)
What are medications a patient may be prescribed post - PCI?
Show Answer
Integrulin/Reapro finished infusing, Plavix, aspirin, beta-blockers, ACE inhibitors, and Statins.
What are post-procedural interventions for a PCI?
Show Answer
Push fluids; monitor for dysrhythmias; lay flat; check pulses and neurovascular every 15 minutes for an hour and then every 30 minutes; check for bruising, flank pain (retroperitoneal bleeding); log roll, reverse Trendelenburg; urine output; and no Metformin
What can trigger a prolonged QT interval?
Show Answer
Hypocalcemia, hypomagnesaemia, tricyclic antidepressants, raised K+, and Marfan's.
What are the pre-procedural interventions before a patient has a PCI done in the cardiac cath lab?
Show Answer
Consent, CABG; NPO; pulses; premedicate with Benadryl, Solucortef/ solumedrol and Pepcid (if allergy); get BUN/creatinine (bicarbonate and Mucomyst with juice) to assess kidneys; begin Integrulin or Reapro infusion; and mark pulses.
Download these questions to your phone here
What is the best diagnostic test for CHF?
Show Answer
BNP - the higher it is, the worse the CHF.
How can preload be assessed non-invasively?
Show Answer
Right side: JVD, peripheral edema; Left side: crackles in lungs
How does an intraaortic balloon pump work to perfuse the coronary arteries, myocardium and vital organs?
Show Answer
During diastole, the balloon inflates and pushes the blood backwards into the coronary arteries. During systole, it deflates, creating a vacuum that draws blood out of the ventricles towards the organs. *Located in descending aorta.
Labetalol is used to treat _______ and Carvedilol is used to treat _______ by lowering heart rate.
Show Answer
Labetalol - hypertension; Carvedilol - heart failure
_______is a drug given to patients experiencing an MI to decrease heart rate and myocardial oxygen consumption. It is cardioselective.
Show Answer
Metoprolol
What drug is commonly used to decrease the HR of patients with A-fib or A-flutter?
Show Answer
Diltiazem
Dobutamine and milrinone are drugs that increase cardiac output by increasing _______.
Show Answer
contractility
Dopamine: greater than 0.5 mcg = _______ action, _______ effect. 5-10 mcg = _______ action, _______ effect. 10-20 mcg = _______ action, _______ effect
Show Answer
Greater than 0.5 mcg - dopaminergic, dilates renal vessels. 5-10 mcg - beta adrenergic, vasodilator, increased heart contraction. 10-20 mcg - alpha stimulant, vasoconstriction.
When is administration of a beta blocker contraindicated?
Show Answer
Heart rate less than 60, systolic BP less than 100, and asthma.
How are epinephrine and Phenylephrine different?
Show Answer
Epinephrine: alpha and beta agonist, increased heart rate. Phenylephrine: alpha agonist, increased CO and SVR without increased heart rate.
What should be monitored for a patient on norepinephrine?
Show Answer
Headache, hypertension, dysrhythmias.
  
Page 4 Skip Navigation Links
Not what your looking for, continue searching

    
Skip Navigation Links