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Exam (elaborations)

Nur 245 Exam 1 – Questions With Complete Solutions

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Nur 245 Exam 1 – Questions With Complete Solutions

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Nur 245 Exam 1 – Questions With Complete
Solutions

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Practice questions for this set


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total disorganization of atrial electricity
rate 350-600
no P waves, IRREGULAR rhythm
- decreased CO, thrombi form in atria = STROKE



Choose an answer



1 Sinus Bradycardia 2 Ventricular fibrillation (V-fib)

, 3 Atrial Flutter 4 Atrial Fibrillation (A-Fib)



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Terms in this set (115)



Sinus Bradycardia SA node fires at a rate less than 60
- symptomatic: fatigue, dizziness, chest pain, syncope,
pale/cool skin, hypotension, weakness, confusion,
disorientation, SOB
drugs* BB, CCB
*may be normal in athletes and some people during
sleep


Sinus Bradycardia Treatment treat patient with symptoms
- give O2
*IV atropine
if atropine is ineffective, PACING, or
dopamine/epinephrine (adrenalin) infusion is
considered
if d/t drugs, may have to hold, d/c, and decrease

, Sinus Tachycardia *dizziness, dyspnea, hypotension bc of - decreased
CO = increased myocardial O2 consumption
CAD = angina
discharge rate from the SA node increased bc of
vagal inhibition or sympathetic stimulation
rate 101-200
can be caused from fever, pain, hypotension,
hypovalemia, anemia, hypoxia, hypoglycemia, MI, HF,
hypothyroidism, anxiety, fear
- drugs; EPI, NOR-EPI, atropine, caffeine, theophylline,
hydralazine
OTC - Sudafed


Sinus Tachycardia Treatment *treat underlying cause
stable pt = vagal maneuver, BB, adenosine, CCB - to
decrease HR
unstable pt = cardioversion




Atrial Flutter recurring, regular, narrow, sawtoothed shaped flutter
*CAD, HTN
rate = 200-350
PR variable no measureable
QRS normal
*Increase risk of stroke = give Coumadin

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