NSG 223 HESI FINAL
Study online at https://quizlet.com/_g93rq3
1. Atrial Flutter Appearance: saw tooth pattern, irregular pulse
Rate: 250-400bpm
IF over 150---> immediate cardioversion
Treatment: CCB (diltiazem, verapamil), BB (propranolol),
Amiodarone (toxic to lungs--> pulmonary function test)
Cardioversion, antiarrhythmic (procainamide), heparin, warfarin
Catheter ablation--> procedure to destroy the errant electrical pathways
2. Atrial Fibrillation Appearance: No P-wave. They are irregular
(A-Fib) Treatment: Anticoagulant therapy to prevent forming of clots
3. Angina Treat- decreased oxygen supply when there is increased myocardial demand for oxygen.
ment/reason for take nitroglycerin prior to exercises
pain FIRST step for pain = oxygen can also be used to manage anginal pain due to
increased oxygen demand
The most common cause of angina is CAD
4. Unstable Angina give nitroglycerin, and call 911 after the 1st dose
intervention
5. acute myocardial the main perpetrator of a MI is CAD
infarction cause -goal of treatment is to improve blood flow and prevent future complications
& goal
6. mitral valve pro- -could be asymptomatic
lapse (MVP) DX -Get an Echocardiogram (2d)
, NSG 223 HESI FINAL
Study online at https://quizlet.com/_g93rq3
- type of heart valve disease that affects the valve between the left heart chambers
(floppy heart)
7. coronary artery Action
disease (CAD) AC- - Elevate HOB at 30 degrees
TION - Laying flat and 90 degrees puts stress of the heart
- Oxygen + Nitroglycerin
8. cardiomyopathy S/S similar the CHF
- Extra heart sounds
- Cough
- Orthopnea (SOB while lying flat)
- chest pain
Treatment
- Anticoagulants
- Diuretics
Risk
- pregnancy
-alcohol
Nursing Intervention
- Sit with legs hanging down-pulls water down
9. Valve Surgery Ac- you can go up the stairs, but limit your activities, do not drive until 4-6 weeks
tivity
10. Pericarditis pain -NSAIDS are okay
-Pain worse with breathing in
-Fever, SOB
-suggest bedrest until pain is gone
-Friction Rub, Creaky
-Sitting forward can relieve the pain (orthopnic position)
-pain spread to the left shoulder and neck
Study online at https://quizlet.com/_g93rq3
1. Atrial Flutter Appearance: saw tooth pattern, irregular pulse
Rate: 250-400bpm
IF over 150---> immediate cardioversion
Treatment: CCB (diltiazem, verapamil), BB (propranolol),
Amiodarone (toxic to lungs--> pulmonary function test)
Cardioversion, antiarrhythmic (procainamide), heparin, warfarin
Catheter ablation--> procedure to destroy the errant electrical pathways
2. Atrial Fibrillation Appearance: No P-wave. They are irregular
(A-Fib) Treatment: Anticoagulant therapy to prevent forming of clots
3. Angina Treat- decreased oxygen supply when there is increased myocardial demand for oxygen.
ment/reason for take nitroglycerin prior to exercises
pain FIRST step for pain = oxygen can also be used to manage anginal pain due to
increased oxygen demand
The most common cause of angina is CAD
4. Unstable Angina give nitroglycerin, and call 911 after the 1st dose
intervention
5. acute myocardial the main perpetrator of a MI is CAD
infarction cause -goal of treatment is to improve blood flow and prevent future complications
& goal
6. mitral valve pro- -could be asymptomatic
lapse (MVP) DX -Get an Echocardiogram (2d)
, NSG 223 HESI FINAL
Study online at https://quizlet.com/_g93rq3
- type of heart valve disease that affects the valve between the left heart chambers
(floppy heart)
7. coronary artery Action
disease (CAD) AC- - Elevate HOB at 30 degrees
TION - Laying flat and 90 degrees puts stress of the heart
- Oxygen + Nitroglycerin
8. cardiomyopathy S/S similar the CHF
- Extra heart sounds
- Cough
- Orthopnea (SOB while lying flat)
- chest pain
Treatment
- Anticoagulants
- Diuretics
Risk
- pregnancy
-alcohol
Nursing Intervention
- Sit with legs hanging down-pulls water down
9. Valve Surgery Ac- you can go up the stairs, but limit your activities, do not drive until 4-6 weeks
tivity
10. Pericarditis pain -NSAIDS are okay
-Pain worse with breathing in
-Fever, SOB
-suggest bedrest until pain is gone
-Friction Rub, Creaky
-Sitting forward can relieve the pain (orthopnic position)
-pain spread to the left shoulder and neck
