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Initial measures for the treatment of angina pectoris do not include which response below? Morphine & Beta Blockers The classical ECG change with muscle injury in acute myocardial infarction is: ST segment elevation Elevated cardiac iso-enzymes generally do not occur in which response below? Congestive Heart Failure The major therapeutic goal in the treatment of cardiogenic shock is to: Increase cardiac output You receive orders to start nitroprusside and dobutamine in your patient with end-stage cardiomyopathy. How will this treatment regimen affect Cardiac Output? Reduced preload and afterload and improves contractility Precautions in using IV nitroprusside is not included in which response below? Alertness to the development of an acute hypertensive episode When packing Nitroprusside, it should be: Protected from light In dealing with a depressed pt. during the 1st few days post AMI the most appropriate nursing action would be: Encourage the patient to ventilate his/her concerns Mr. Seamore is receiving thrombolytics (TPA) 3 hrs. after an AMI, Which of the following would most likely require discontinuing the infusion? Change in mental status The following monitor pattern would indicate that the pulmonary artery (Swan Ganz) catheter is in which position? Pulmonary artery occlusion (wedge) A systolic murmur that is auscultated at the 2nd intercostal space, right sternal border is called: Aortic Stenosis Which of the following wave patterns indicates proper functioning of an arterial line? High to low The use of an arterial line may be indicated for all the following except? For the administration of routine drugs After an arterial catheter is removed, direct pressure should be applies to the artery for how long? 5-10 minutes A CVP reading directly reflects pressure in the: Right Atrium An elevated CVP reading may indicate: Right heart failure The pulmonary artery occlusive (wedge) pressure (PAOP) reflects pressure in the: Left Vetricle The normal pulmonary artery pressure is: 11-20 How many mmHg is the normal PAOP? -12 An elevated PAOP may indicate: Left ventricular failure Mr. Adams, a 68 y/o pt., c/o feeling "a little funny in his chest". His ECG shows Afib/flutter. Which of the following meds could be used to tx his cardiac rhythm? Diltiazem/Cardizem A QRS complex wider than 0.12 sec most likely indicates: Bundle Branch Block (BBB) Special care should be exercised when administering IV Dopamine because Infiltration leads to tissue necrosis A strong ventricular stimulus is potentially dangerous when it lands on the T Wave Indication for use of external cardiac pacemaker includes: Symptomatic complete heart block Initial drug treatment for sustained V-Tach when a pulse is present Amiodarone 150mg IV over 10 minutes The cardiac rhythm of A Flutter is: Hazardous, as the ventricular rate may suddently increase