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NURS 305 Midterm

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Exam of 95 pages for the course NURS 305 at University Of Minnesota - Twin Cities (NURS 305 Midterm)

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What is nocturnal angina?


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- Occurs only at night but not necessarily during sleep




Interpret a third degree heart block.

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- Heart rhythm: atrial and ventricular rate are regular but there is no
relationship between them
- Heart rate: atrial rate is greater than ventricular rate
- P waves: uniform and upright
- P to QRS ratio: usually more P waves than QRS complex
- PR interval: none-P wave and QRS complex are not related to each other
- QRS complex: may be narrow (less than 0.12 seconds) or wide, depending
on location of escape pacemaker ( junctional vs ventricular)
- Treatment: immediate temporary pacing (meds: atropine, epinephrine,
isoproterenol and dopamine may be used temporarily to increase HR and
support BP). Definitive treatment: permanent pacemaker




What are diagnostic tests for a patient suspected with a heart failure?


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- ECG: look for evidence for ischemia, infarction, arrhythmia (ex; a.fib)
- Chest radiography (assess for signs of PE, cardiomegaly, alternative
diagnoses (ex; pneumonia))
- Echocardiography (if the cardiac or valvular function is not known, f/u to
compare to previous)
- Exercise testing
- Stress test
- MRI-cardiac
- Cardiac catheterization




What is the zone of infarction?


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, Where cell death is happening




How long should the ST segment be?


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Deviation from baseline




What happens in phase 3 of an action potential?


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DESCRIPTION
- Repolarization
IONIC MOVEMENT
- K+ out of the cell
MECHANISMS
- Ca2+ and Na+ channels close; K+ channels remains open




What is the pathophysiological of COPD?


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Characterized by chronic inflammation found in the airways, lung
parenchyma (respiratory bronchioles and alveoli), and pulmonary blood
vessels

, What is blood pressure?


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The force exerted by the circulating blood volume on the walls of the
arteries




What is silent ischemia?


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- Ischemia that is asymptomatic
- Associated with diabetes mellitus




What are pulmonary bullae?


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Large air spaces in the parenchyma




Which leads refers to the anterior aspect of the heart? (4)


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Lead 1-4

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