PCCN CARDIAC ALL SET QUESTIONS AND ANSWERS
SET A+
✔✔Fluid resuscitation Within the first 3 hrs of Sepsis - ✔✔30ml/ kg crystallized bolts by
rapid infusion
Or until Lactic Acid <4
✔✔Ativan should be used with caution in elderly, dementia patients because: - ✔✔It
can have a paradoxical effect
✔✔Antimocrobial therapy in surgery - ✔✔Given within 1 hour of first incision
Helps prevent Surgical Site Infections
✔✔FFP (fresh frozen plasma) - ✔✔Repletes clotting factors
Indicated for patients at risk for bleeding/ elevated PT/ aPTT
✔✔In Restrictive Cardiomyopathy, ACEI are used to - ✔✔Decrease afterload and heart
remodeling, improve EF
✔✔Restrictive Cardiomyopathy Symptoms - ✔✔Dyspnea on exertion
Poor exercise tolerance
Dysrhythmias
Positive Kussmaul's sign
As cites
Pulmonary Congestion
✔✔Patients with DM may exhibit vague symptoms indicative of: - ✔✔Acute Coronary
Syndrome
EKG may aid in diagnosis
✔✔A patient in HF may be severely fluid overloaded by: - ✔✔5-50 lbs over dry weight
, ✔✔Development of AMS in the setting of high BP may indicate: - ✔✔Stroke or
Aneurysm
✔✔Most patients experiencing a STEMI will need - ✔✔Immediate coronary artery
reperfusion
OR
Fibrinolytic therapy
✔✔Aortic Stenosis - ✔✔LV ejection is impaired d/t obstructive narrowing of aortic valve
—> backflow of blood to LV
✔✔Heart sounds in Aortic Stenosis - ✔✔High pitched, blowing, decrescendo diastolic
murmur loudest at lower left eternal border, 3rd-4th intercostal space
✔✔Patients with hyperkalemia and DM will likely develop which EKG changes? - ✔✔ST
depression
Increased PRI
Tall, tented T waves
✔✔The prominent EKG change in Hypokalemia is: - ✔✔Prominent U Waves
✔✔What is the best way to diagnose or confirm Cardiac Tamponade? -
✔✔Echocardiography
✔✔Goals of treatment in acute MI: - ✔✔Pain Relief
Stabilize cardiac rhythm
Revascularize
Preserve myocardial tissue
Decrease workload of heart
✔✔Teaching for Hypertrophic Cardiomyopathy - ✔✔Abstain from strenuous activity/
physical exertion
*Increased risk of death and lethal arrhythmias
✔✔Hypertrophic Cardiomyopathy - ✔✔Genetically Inherited (genetic testing)
ICD may be necessary
Heart healthy diet (low fat/ cholesterol)
✔✔A new systolic murmur could be indicative of: - ✔✔Endocarditis
✔✔Unstable Angina is characterized by: - ✔✔New-onset OR increasing frequency/
duration of pain
Pain lasting 15-30 min
Not responsive to SL nitro
SET A+
✔✔Fluid resuscitation Within the first 3 hrs of Sepsis - ✔✔30ml/ kg crystallized bolts by
rapid infusion
Or until Lactic Acid <4
✔✔Ativan should be used with caution in elderly, dementia patients because: - ✔✔It
can have a paradoxical effect
✔✔Antimocrobial therapy in surgery - ✔✔Given within 1 hour of first incision
Helps prevent Surgical Site Infections
✔✔FFP (fresh frozen plasma) - ✔✔Repletes clotting factors
Indicated for patients at risk for bleeding/ elevated PT/ aPTT
✔✔In Restrictive Cardiomyopathy, ACEI are used to - ✔✔Decrease afterload and heart
remodeling, improve EF
✔✔Restrictive Cardiomyopathy Symptoms - ✔✔Dyspnea on exertion
Poor exercise tolerance
Dysrhythmias
Positive Kussmaul's sign
As cites
Pulmonary Congestion
✔✔Patients with DM may exhibit vague symptoms indicative of: - ✔✔Acute Coronary
Syndrome
EKG may aid in diagnosis
✔✔A patient in HF may be severely fluid overloaded by: - ✔✔5-50 lbs over dry weight
, ✔✔Development of AMS in the setting of high BP may indicate: - ✔✔Stroke or
Aneurysm
✔✔Most patients experiencing a STEMI will need - ✔✔Immediate coronary artery
reperfusion
OR
Fibrinolytic therapy
✔✔Aortic Stenosis - ✔✔LV ejection is impaired d/t obstructive narrowing of aortic valve
—> backflow of blood to LV
✔✔Heart sounds in Aortic Stenosis - ✔✔High pitched, blowing, decrescendo diastolic
murmur loudest at lower left eternal border, 3rd-4th intercostal space
✔✔Patients with hyperkalemia and DM will likely develop which EKG changes? - ✔✔ST
depression
Increased PRI
Tall, tented T waves
✔✔The prominent EKG change in Hypokalemia is: - ✔✔Prominent U Waves
✔✔What is the best way to diagnose or confirm Cardiac Tamponade? -
✔✔Echocardiography
✔✔Goals of treatment in acute MI: - ✔✔Pain Relief
Stabilize cardiac rhythm
Revascularize
Preserve myocardial tissue
Decrease workload of heart
✔✔Teaching for Hypertrophic Cardiomyopathy - ✔✔Abstain from strenuous activity/
physical exertion
*Increased risk of death and lethal arrhythmias
✔✔Hypertrophic Cardiomyopathy - ✔✔Genetically Inherited (genetic testing)
ICD may be necessary
Heart healthy diet (low fat/ cholesterol)
✔✔A new systolic murmur could be indicative of: - ✔✔Endocarditis
✔✔Unstable Angina is characterized by: - ✔✔New-onset OR increasing frequency/
duration of pain
Pain lasting 15-30 min
Not responsive to SL nitro
