Term
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Definition
| ability of the heart to pump hard |
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| Means starts in the SA node. |
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Definition
| Normal rythm but just slow, asses and if tx needed, then give atropeine. may need pacmaker |
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Term
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Definition
| Gosts holding hands, pulse???? if pulsess defib!!! |
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Definition
| Fast sinus, give fluid (dehydrated, painfull or anxious), possible beta blocerks... |
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Term
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Definition
| vitals o2, iv, montor, EKG, labs |
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Term
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Definition
| big jello wavy line, have to shock now!!! Rate is, none, grossly irregular, no PR ration, no PR intervil No QRS, patiet is pulsless and apenic! |
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Term
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Definition
| NO p waves just flutter waves!!!! wil have QRS's and will be irregular, (but P waves will look organized) depends on rate for what we do, maybe do adenosine, may cardiovert, try beta blocers or CC bockers, |
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Term
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Definition
| No P wave, jiggly line, has QRS's, |
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Definition
| long pr intervil, monitor nothing... |
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Term
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Definition
| longer and longer PR then non, possible pacemaker, |
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Definition
| Normal PR intervil, but dropped qrs's and reguraly, possible pacemaker, possible atropine, |
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Definition
| P's and qrs's dont talk to eacother, will posibly hve wider QRS's, will need Pacmaker, and possible temp pacing. |
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Term
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Definition
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Term
| Ca-channel blockers – (diltiazem, cardiazem, verapamil) |
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Definition
| Slows down heart rate, and lowers BP, cna convert a=fib, (cartazem) |
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Term
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Definition
| Tx for bradycardia, only works on atria!!!! |
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Term
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Definition
| anti arythmic. for v-tach, v-fib. |
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Definition
| for a VERY-fast hart lol, |
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Term
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Definition
| inceases contractility, decreased hr, |
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Term
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Definition
| like lidocaine, is anti artymic. |
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Term
| Ace-inhibitors (ACE-I) (ie Lisinopril, enalapril, captopril) |
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Definition
| decreases BP, give for heart attacks, |
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Term
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Definition
| Give for torsades de pointers, |
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Term
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Definition
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Term
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Definition
| Stops heart and fixes tachycardia, GIVE FAST!!! |
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Term
| beta Blockers –(ie Metoprolol, Atenolol) |
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Definition
| decrease BP, and HR, and workload, |
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Definition
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Definition
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| Angiotensin Receptor Blockers (ARBS – Losartin (Cozaar) |
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Definition
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Definition
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Term
| Nitroglycerin (oral, paste and drip) |
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Definition
| vasodilator, give q 5 min, x3 call after 2nd, BP problem, dont give whit viagra, |
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Term
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Definition
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Term
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Definition
| vasoconstrictor, workes like epinephrine, |
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Term
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Definition
| Vasoconstrictor, and increases contractility of heart. |
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Term
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Definition
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Term
| Nitroprusside sodium (Nipride) |
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Definition
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Term
| Thrombolytic agents Retaplase, Tenecteplase (TNKase), and Streptokinase |
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Definition
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Term
| Vasodilators (Nesiritide) |
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Definition
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Term
| Arginine Vasopressin (AVP) |
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Definition
| increases water retention |
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Term
| AVP antagonists (tolvaptan, conivaptan (Vaprisol) |
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Definition
| decreases water retention |
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Term
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Definition
| stunning heart into normal rythm. |
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Term
| What is synchronized cardioversion and when is it used? |
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Definition
| Used for stable tachycardic rythms. |
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Term
| When do you use, and describe a temporary pacemaker? |
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Definition
| use for symptomatic bradycardia, is an extrnal power source for heart. can be external or internal, |
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Term
| When do you use, and describe a synchronous (demand) pacemaker? |
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Definition
| Beat when needed. heart blocks or sinus brady |
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Term
| When do you use, and describe transvenouse pacing? |
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Definition
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Term
| When do you use, and describe noninvasive temporary pacing? |
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Definition
| External pads that regulate a brady rythm. |
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Term
| What is the nursing management of a patient with a pacemaker? |
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Definition
| montor, if they go home, watch for magnets, |
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Term
| What is the nursing management of a patient with an ICD? |
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Definition
| they may be shocked when it works. |
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Term
| What is the nursing management of a patient undergoing radio freqency ablation? |
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Definition
| kils cardiac cells that are being bad. |
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Term
| What is the nursing management of a patient with and intraaortic ballon pump? |
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Definition
| basic an artificial heart, asisting blood flow, in aortia, |
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Term
| What is the nursing management of a patient with ventricualr asistit devices and artificial hearts? |
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Definition
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Term
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Definition
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Term
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Definition
| heart muscle breakdown (myocardial band)has quick decline.But rises second! |
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Term
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Definition
| Has slower decline, for angina,but rises FIRST |
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Term
| What is C-reactive protein? |
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Definition
| tests for inflammation... |
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Term
| What is homycysteine level? |
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Definition
| if hi they have highr rate of heart atak or stroke. |
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Term
| What are the S/S of an MI in women, elderly, and men? |
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Definition
| woemn have vague symtpoms, and abdomen s/s |
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Term
| Describe pericarditis and what we do for them? |
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Definition
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Term
| describe cardiac tamponade and what we do for it? |
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Definition
| blut trauma and fluid around the heart. |
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Term
| describe cardiogenic shock and what we do for it? |
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Definition
| heart is not beating and no BP, or ineffectiv like from cardiac tampanode |
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Term
| pulseless arest in asystole/PEA |
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Definition
| Give epi, or vasopression. consider atropene, then check rythm again and continue |
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Term
| Pulseless aresest with Vf/VT |
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Definition
| give 1 shock, check rythm, give another cshock, then give epi or vasopresin, check rythm, shock, then possible amiodarone, lidocane or magnesium. then after 5 cycles of CPR do more shocks. |
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Term
| For bradycardia with poor profusion do what? |
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Definition
| prep for transcutaneous pacing, consider atropeine, consider epi or dopamine, then consider transvenous pacing |
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Term
| Tachycardia that is unstable do what? |
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Definition
| Perform immediate synchronized cardioversion. |
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Term
| Stable tachycardiai that is wide do what? |
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Definition
ask if reg or ireg, if reg give amiodarone prepare for elecitve synch cardioversion, if svt with abberancy give adensoine.
BUT if irreg, maybe amiodarone,can be torsades, |
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Term
| Tachycardia that is stable and narrow? |
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Definition
| Attemp vegal manuvers, give adenosene RAPID!, if it is not fixed suspecte atrial flutter, ectopic atrial tachycardia or junctional tachycardia, then give betblocers or diltiazem (CCblocker) |
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Term
| For chest pain with probable ischemia. |
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Definition
| MONA, VOIMEL, then look @ EKG.... LOOK FOR FOLLOWING SLIDE! |
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Term
| Sugesstive ichmia with ST elevation or new LBBB, |
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Definition
| means they are having cardiac event, give beta blocerks, heparin, clopidogrel (antiplatlet) ask when s/s started then start reprofusion strategy if less than 12 hrs. |
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Term
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Definition
| Give meds TPA like stuff. Clottbuster!!! |
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Term
| Sugestiv ischmia with ST Depression |
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Definition
| possible ichmia, start more nitro and same as with ST elevation, also glyoprotein inhibitor, send to seattle to get invasive treatment (CABG Stents) |
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Term
| ichmia with normal nondiagnostic changes in ST segment or T wave. |
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Definition
| if there at risk or they are troponin positive give them the (St depression way) then admit if nothing wrong. |
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Term
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Definition
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Term
| triponin 1 time and CK-MB time |
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Definition
| Triponin Rises first, ckmb rises later |
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Term
| if QRS is normal size qhere does impulse come from? |
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Definition
| Above the ventricles, likethe atrum ;) |
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Term
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Definition
| 12-20 or no more than 1 BOX! |
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Term
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Definition
| 4-10 no less than one little box and less than 3 boxes |
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