Med Surge ExaM 1 Version 2 With Questin And Correct Answers Intervention torsades de pointes - correct answer-defibrillate (no pulse) Medications for Torsades de Pointes - correct answer-magnesium medications for sinus bradycardia - correct ans

Med Surge ExaM 1 Version 2 With Questin And Correct Answers Intervention torsades de pointes - correct answer-defibrillate (no pulse) Medications for Torsades de Pointes - correct answer-magnesium medications for sinus bradycardia - correct answer-atropine epi Caused by an occlusion of the RCA - correct answer-inferior wall MI inferior wall MI vessel - correct answer-RCA caused by an occlusion of the circumflex artery - correct answer-lateral wall MI lateral wall MI vessel - correct answer-circumflex artery caused by an occlusion of RCA/ left circumflex arteries - correct answer-posterior wall MI posterior MI vessel - correct answer-Left circumflex RCA caused by an occlusion of the LAD - correct answer-anterior wall MI anterior wall MI vessel - correct answer-LAD indications of an MI on EKG - correct answer-Elevated ST segment Depressed ST segment pathologic Q wave Lab test for MI - correct answer-troponin troponin T rises in - correct answer-3-4 hours Troponin I rises in - correct answer-4-6 hours Troponin T remains elevated for - correct answer-10-14 days Troponin I remains elevated for - correct answer-5-7 days Medications for MI - correct answer-morphine nitroglycerin aspirin beta blockers desired effect of morphine for MI - correct answer-decreased cardiac workload desired effect of nitroglycerin for MI - correct answer-decrease preload desired effect of aspirin for MI - correct answer-decreased clotting desired effect of beta blockers in MI - correct answer-decreased cardiac workload decreased contractility PCI - correct answer-Percutaneous coronary intervention (placement of a catheter and stent in a coronary artery to open the artery; balloon angioplasty) PCI must be performed c/in what time frame - correct answer-90 mins complications of PCI - correct answer-bleeding/ hematoma at femoral site restenosis nephrotoxicity (contrast dye) post op care for PCI - correct answer-monitor kidney fx (I/Os) monitor for bleeding, restenosis, dysrhythmias HOB <30 vitals q 15, q30, q hr Best evidence for reperfusion - correct answer-ST segment returns to baseline post op care for fibrinolytics - correct answer-MONITOR FOR BLEEDING transfer to PCI facility ASAP 6 hours bed rest prophylactic H2 blockers fibrinolytic drugs - correct answer-Alteplase Reteplase Tenecteplase discharge instructions post MI - correct answer-diet exercise weightloss reduce stress monitor BP regularly quit smoking beta blockers Statins ACE-I (anterior wall MI) systolic heart failure symptoms - correct answer-decreased ejection fraction decreased perfusion decreased contractility diastolic heart failure symptoms - correct answer-decreased preload Left sided heart failure symptoms - correct answer-SOB exercise intolerance pulmonary congestion crackles absent pulses cyanosis low urine output Right sided heart failure symptoms - correct answer-JVD ascites jaundice peripheral edema liver congestion abdominal pain n/