Nur 4120 Med Surg 3 Questions With Complete Solutions

Nur 4120 Med Surg 3 Questions With Complete Solutions

Asystole: Management Correct Answers -Check
responsiveness, check pulse, no pulse
-Begin CPR
-Minimal interruptions
-Intubation
-Establish IV access
-Epinephrine bolus (repeat every 3-5 minutes)
-Vasopressin
-Call code

Atrial Fibrillation Correct Answers -Rapid disorganized &
uncontrolled twitching of atrial muscle
-Paroxysmal or chronic
-Rapid ventricular response; loss of atrial kick (25 - 30% of CO)
-Atrial rate 300 - 600 BPM
- Ventricular rate 120 -200 BPM
-Rate is irregular
-Hallmark Sign ( no P-wave)

Atrial Fibrillation: Clinical Manifestations Correct Answers -
Palpitations
-Fatigue
-SOB (Airway first)
-Exercise Intolerance
-Hemodynamic collapse

Atrial Fibrillation: Diagnosis Correct Answers -Depends on
cause & duration (Patients age, symptoms, comorbiditites)
-12 lead EKG

, -Echocardiogram
-Thyroid, renal & hepatic function labs
-CXR
-Exercise test
-Holter monitoring

Atrial Fibrillation: Etiology Correct Answers -Post-Op CABG
-Valvular Disease
-Inflammatory disease (pericarditis)
-HTN
-CAD, cardiomyopathy
-Heart Failure
-Hyperthyroidism
-Pulmonary HTN & Embolism
-Obstructive sleep apnea
-Holiday heart
-Subarachnoid hemorrhage

Atrial Fibrillation: Management Correct Answers -
Electrocardioversion if < 48 hrs
-Amiodarone, lidocaine, sotalol, digoxin
-CCB (Verapamil, & cardezim)
Med route: IV
-Patient placed on anticoagulants to help with clots (Xarelto,
Pradaxa)

Atrial Fibrillation: Types Correct Answers -Paroxysmal:
Recurrent ; recurrent with sudden onset & termination
-Persistent: Continuous (most often seen- want to control
rhythm)