NUR 445 Exam 1 study guide with complete solutions!!!.

lOMoAR cPSD| 47061011




Med Surg III Exam 1 Study Guide


NUR 445 Exam 1 study guide with solutions!!!



Exam 1 Study Guide


Cardiac
ECG interpretation
1. Is the rate slow, fast, or normal?
2. Is the rhythm regular; are complexes an equal distance from one to the
next?
3. Are there P waves present?
4. Are there QRS complexes present?
5. Are there T waves present?
6. Are the intervals WNL?
7. Is there a P wave before every QRS?
8. Is there a QRS after every P wave?
Atrial fibrillation (p. 603)
What: loss of cardiac output (clots: PE, DVT, stroke, MI)
TX: anticoagulants,
Stable: antiarrhythmics (beta blocker/CCB)
Unstable: cardioversion, cardiac ablation
ECG: no P wave




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, lOMoAR cPSD| 47061011




Med Surg III Exam 1 Study Guide




Supraventricular tachycardia (SVT) (p.596)
What: rapid heart rhythm originating above ventricles
TX: cardioversion, IV adenosine, Valsalva maneuver (bearing down).
ECG: narrow QRS complex
Act: telemetry, defibrillator pads, keep NPO




ST elevation
What: occlusion of one or more coronary arteries
TX: PCI, anticoagulants, beta blockers, ACEi, ARB, CABG




Pulseless ventricular tachycardia (Vtach)




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