NUR 245 Final Exam – Questions With Indepth
Solutions
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Terms in this set (244)
How does CAD start? Chronic endothelial injury
3 multiple choice options
Causes of CAD - Uncontrolled HTN
- Smoking
- Hyperlipidemia
3 multiple choice options
1st S/S of CAD Chronic stable angina
3 multiple choice options
Chronic stable angina - Pain w/ activity
- Relieved by rest/nitro
- Lasts < 10 min
,CAD progresses from chronic stable Unstable angina
angina to
Unstable angina - Occurs at rest
- Wake up in the morning w/ it
- Not relieved by rest/nitro
- Last > 10 min
SL nitro - Light & heat sensitive
- Replace every 6 mos
- Take every 5 min up to 3 doses
- Seek medical attention if unrelieved after 3 doses of
nitro
S/E of nitro (SL & aerosol) - Tingling under tongue
- ↓ BP
- ↓ HR
- HA
CAD progresses to chronic stable - STEMI
angina to unstable angina and results - NSTEMI
in a
NSTEMI - ST depression
- T wave inversion
- Elevated cardiac enzymes
STEMI - ST elevation
- Elevated cardiac enzymes
- Door to balloon in 90 min
- To cath lab for PCI
1st intervention for chest pain 12 lead EKG
,Chest pain interventions - 12 lead EKG
- Continuous cardiac monitoring
- 2 lg bore IV's
- Draw cardiac enzymes
- NSTEMI: to cath lab after verified w/ cardiac
enzymes
If the nurse notices ventricular Check for a pulse
tachycardia on the monitor, what is the
3 multiple choice options
next thing to do?
What on the EKG shows ischemia? ST depression
3 multiple choice options
What on the EKG shows current ST elevation
myocardial injury (likely MI)? 3 multiple choice options
NSR 60-100 bpm
3 multiple choice options
Tachycardia > 100 bpm
3 multiple choice options
Bradycardia med Atropine
3 multiple choice options
, V-tach - Lethal
- Wide QRS complex w/ no P wave
1 multiple choice option
Tachycardia interventions - Vagal maneuver
- Blow into straw
Tachycardia med Adenosine
3 multiple choice options
Bradycardia < 60 bpm
3 multiple choice options
Stable v-tach interventions - Antidysrhythmics
- Cardioversion
Unstable v-tach and v-fib interventions - CPR + defib
- Crash cart
V-tach med Amiodarone
3 multiple choice options
Solutions
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Match Blocks Charms NEW
Terms in this set (244)
How does CAD start? Chronic endothelial injury
3 multiple choice options
Causes of CAD - Uncontrolled HTN
- Smoking
- Hyperlipidemia
3 multiple choice options
1st S/S of CAD Chronic stable angina
3 multiple choice options
Chronic stable angina - Pain w/ activity
- Relieved by rest/nitro
- Lasts < 10 min
,CAD progresses from chronic stable Unstable angina
angina to
Unstable angina - Occurs at rest
- Wake up in the morning w/ it
- Not relieved by rest/nitro
- Last > 10 min
SL nitro - Light & heat sensitive
- Replace every 6 mos
- Take every 5 min up to 3 doses
- Seek medical attention if unrelieved after 3 doses of
nitro
S/E of nitro (SL & aerosol) - Tingling under tongue
- ↓ BP
- ↓ HR
- HA
CAD progresses to chronic stable - STEMI
angina to unstable angina and results - NSTEMI
in a
NSTEMI - ST depression
- T wave inversion
- Elevated cardiac enzymes
STEMI - ST elevation
- Elevated cardiac enzymes
- Door to balloon in 90 min
- To cath lab for PCI
1st intervention for chest pain 12 lead EKG
,Chest pain interventions - 12 lead EKG
- Continuous cardiac monitoring
- 2 lg bore IV's
- Draw cardiac enzymes
- NSTEMI: to cath lab after verified w/ cardiac
enzymes
If the nurse notices ventricular Check for a pulse
tachycardia on the monitor, what is the
3 multiple choice options
next thing to do?
What on the EKG shows ischemia? ST depression
3 multiple choice options
What on the EKG shows current ST elevation
myocardial injury (likely MI)? 3 multiple choice options
NSR 60-100 bpm
3 multiple choice options
Tachycardia > 100 bpm
3 multiple choice options
Bradycardia med Atropine
3 multiple choice options
, V-tach - Lethal
- Wide QRS complex w/ no P wave
1 multiple choice option
Tachycardia interventions - Vagal maneuver
- Blow into straw
Tachycardia med Adenosine
3 multiple choice options
Bradycardia < 60 bpm
3 multiple choice options
Stable v-tach interventions - Antidysrhythmics
- Cardioversion
Unstable v-tach and v-fib interventions - CPR + defib
- Crash cart
V-tach med Amiodarone
3 multiple choice options
