NURS 5463 Exam 4 Study Guide
NURS 5463: Exam 4 Study Guide
Study online at https://quizlet.com/_g5so4u
1. When to stop 1. Unsafe conditions for the rescuer
ACLS? 2. DNR
3. Signs of death
4. Conditions not compatible for life
2. ACLS Considera- 1. Witnessed arrest?
tions 2. Initial rhythm
3. Time elapsed (depends on the situation)
4. Duration of CPR (depends on the situation)
5. Patient's overall condition
5. Legal/ethical considerations
7. Debrief
3. Factors that im- 1. Witnessed cardiac arrest with immediate CPR
prove ACLS 2. Utilization of defibrillation when indicated
4. What IV drip Nitroglycerin
should be con-
sidered in pa-
tients with per-
sistant signs of
heart failure?
5. What are three Orthopnea
signs of heart JVD
failure? Pulmonary Edema
6. What is diastolic AKA heart failure with preserved ejection fraction (HFpEF)
heart failure?
7. When does dias- It occurs when the heart's left ventricle becomes stiff and does not relax properly,
tolic heart failure leading to impaired filling of the heart with blood.
occur?
, NURS 5463 Exam 4 Study Guide
NURS 5463: Exam 4 Study Guide
Study online at https://quizlet.com/_g5so4u
8. Define ejection A measure of how much blood is pumped out with each heartbeat) remains
fraction normal, but symptoms of heart failure still develop.
9. Common signs - Shortness of breath (dyspnea):
of diastolic heart - Fatigue and Weakness:
failure - Swelling (edema):
- Weight Gain:
- Frequent Urination:
- Cough or Wheezing:
- Difficulty Exercising:
- Chest Pain or Discomfort:
- Palpitations
- Cool Extremities:
10. What is systolic AKA heart failure with reduced ejection fraction (HFrEF).
heart failure?
11. When does sys- It occurs when the heart's left ventricle loses its ability to contract effectively which
tolic heart failure impairs the heart's ability to pump blood to meet the body's needs.
occur?
12. Ejection fraction The EF is reduced, typically below 40%, compared to a normal range of 50-70%.
in systolic heart
failure
13. What are the - CAD
causes of systolic - HTN
heart failure? - Dilated cardiomyopathy:
- Valve diseases: (AS, AR, MS, MR)
- Arrhythmias
- Myocarditis:
- Smoking
, NURS 5463 Exam 4 Study Guide
NURS 5463: Exam 4 Study Guide
Study online at https://quizlet.com/_g5so4u
- Excessive alcohol use,
- Drug use (e.g., cocaine).
14. What are the - Shortness of breath (dyspnea)
symptoms of sys- - Fatigue and weakness
tolic heart fail- - Fluid retention
rue? - Cough or wheezing
- Rapid or irregular heartbeat
- Chest pain or pressure
- Exercise intolerance
- Cool extremities or pale skin
15. Treatments for Rate control with:
Atrial Fibrillation - digoxin
- beta blockers (atenolol, metoprolol)
- calcium channel blockers (diltiazem, verapamil)
- amiodarone
Procedures
- Cardiac ablation
- TEE (recommended before cardioversion)
- Cardioversion
- MAZE procedure
16. How do you risk CHADs2-Vasc score
stratify Afib? 0 = low risk (anticoags are not recommended)
1 = low-moderate risk (consider anticoags and/or anti-platelet therapy)
> 2 = moderate-high risk (anticoags are recommended)
Also recommended, rate control with beta-blockers, calcium channel blockers,
amiodaronem, digoxin)
17. Mangement of Risk stratification
Afib depends on: Hemodynamic stability
NURS 5463: Exam 4 Study Guide
Study online at https://quizlet.com/_g5so4u
1. When to stop 1. Unsafe conditions for the rescuer
ACLS? 2. DNR
3. Signs of death
4. Conditions not compatible for life
2. ACLS Considera- 1. Witnessed arrest?
tions 2. Initial rhythm
3. Time elapsed (depends on the situation)
4. Duration of CPR (depends on the situation)
5. Patient's overall condition
5. Legal/ethical considerations
7. Debrief
3. Factors that im- 1. Witnessed cardiac arrest with immediate CPR
prove ACLS 2. Utilization of defibrillation when indicated
4. What IV drip Nitroglycerin
should be con-
sidered in pa-
tients with per-
sistant signs of
heart failure?
5. What are three Orthopnea
signs of heart JVD
failure? Pulmonary Edema
6. What is diastolic AKA heart failure with preserved ejection fraction (HFpEF)
heart failure?
7. When does dias- It occurs when the heart's left ventricle becomes stiff and does not relax properly,
tolic heart failure leading to impaired filling of the heart with blood.
occur?
, NURS 5463 Exam 4 Study Guide
NURS 5463: Exam 4 Study Guide
Study online at https://quizlet.com/_g5so4u
8. Define ejection A measure of how much blood is pumped out with each heartbeat) remains
fraction normal, but symptoms of heart failure still develop.
9. Common signs - Shortness of breath (dyspnea):
of diastolic heart - Fatigue and Weakness:
failure - Swelling (edema):
- Weight Gain:
- Frequent Urination:
- Cough or Wheezing:
- Difficulty Exercising:
- Chest Pain or Discomfort:
- Palpitations
- Cool Extremities:
10. What is systolic AKA heart failure with reduced ejection fraction (HFrEF).
heart failure?
11. When does sys- It occurs when the heart's left ventricle loses its ability to contract effectively which
tolic heart failure impairs the heart's ability to pump blood to meet the body's needs.
occur?
12. Ejection fraction The EF is reduced, typically below 40%, compared to a normal range of 50-70%.
in systolic heart
failure
13. What are the - CAD
causes of systolic - HTN
heart failure? - Dilated cardiomyopathy:
- Valve diseases: (AS, AR, MS, MR)
- Arrhythmias
- Myocarditis:
- Smoking
, NURS 5463 Exam 4 Study Guide
NURS 5463: Exam 4 Study Guide
Study online at https://quizlet.com/_g5so4u
- Excessive alcohol use,
- Drug use (e.g., cocaine).
14. What are the - Shortness of breath (dyspnea)
symptoms of sys- - Fatigue and weakness
tolic heart fail- - Fluid retention
rue? - Cough or wheezing
- Rapid or irregular heartbeat
- Chest pain or pressure
- Exercise intolerance
- Cool extremities or pale skin
15. Treatments for Rate control with:
Atrial Fibrillation - digoxin
- beta blockers (atenolol, metoprolol)
- calcium channel blockers (diltiazem, verapamil)
- amiodarone
Procedures
- Cardiac ablation
- TEE (recommended before cardioversion)
- Cardioversion
- MAZE procedure
16. How do you risk CHADs2-Vasc score
stratify Afib? 0 = low risk (anticoags are not recommended)
1 = low-moderate risk (consider anticoags and/or anti-platelet therapy)
> 2 = moderate-high risk (anticoags are recommended)
Also recommended, rate control with beta-blockers, calcium channel blockers,
amiodaronem, digoxin)
17. Mangement of Risk stratification
Afib depends on: Hemodynamic stability
