AGACNP Cardiac question n answers graded A+ 2023/2024

AGACNP CardiacWhat usually causes left ventricle hypertrophy? - correct answer uncontrolled HTN S4 is indicative of - correct answer HTN, MI (stiff ventricular wall) S3 is indicative of - correct answer HF Which heart valves usually get adults into the most trouble? - correct answer L heart vales (mitral/aortic) Acute HF s/s (L vs. R) - correct answer L= pulmonary R= JVD, hepatosplenomegally, peripheral edema HF patients are usually always on an.... - correct answer ACE-Inhibitor (~pril) DO NOT use an ACE-I and an ARB together d/t - correct answer hyperkalemia If a patient has a cough on an ACE-I you would switch to.... - correct answer ARB Classifications of a HTN EMERGENCY - correct answer Diastolic BP above 120 w/ chest pain (tx. Nicardipine gtt) Prinzmetal angina - correct answer vasospastic, usually r/t influx of calcium, pts usually placed on CCB Ways pts may describe chest pain r/t MI vs. angina - correct answer Angina: "clenched fist, feels like someones squeezing my heart" MI: "feels like some one is sitting on my chest" ST depression vs. elevation - correct answer ST depression = ischemia ST elevation = infarction Which markers are 100% cardiac selective - correct answer CK-MB Troponin I Order of immediate TX for MI - correct answer ASA (decrease clot aggregation) Nitro (open hole around clot/plaque) O2 (then give oxygen) Time frame for fibrolytics and time frame for cath lab - correct answer Door to fibrolytics= 30 minutes Door to cath lab= 90 min ABX to treat endocarditis until cx results are available - correct answer vanc Summary of endocarditis vs. pericarditis - correct answer Pericarditis = virus = tx. NSAIDS Endocarditis = bacterial = ABX Any irregular heart sound, you must order an - correct answer ECHO Hemodynamic monitoring values for pericardial tamponade - correct answer equalization of RA pressure, PA pressure, and PCWP Absolute CONTRAINDICATIONS for fibrolytic therapy - correct answer hx ICH stroke w/i 3m suspected aortic dissection active bleed