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Nursing 252 Exam 1- Perfusion Review Questions and Correct Answers

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Mean Arterial Pressure (MAP) Systolic + 2(Diastolic) /3 Pulse pressure systolic pressure - diastolic pressure Pulse pressure normal ranges 40-60 mmHg cardiac catheterization a diagnostic procedure in which a catheter is passed into a vein or artery and then guided into the heart evaluates heart function and diagnose cardiovascular conditions. Telemetry the process of continuous electrocardiographic monitoring of HR, breathing, and BP transesophageal echocardiography (TEE) specialized echocardiography procedure in which patient swallows ultrasound head in order to better visualize internal cardiac structures, especially cardiac valves and blood clot status. be aware of anticoagulation status hemodynamic monitoring Provides information about vascular capacity, blood volume, pump effectiveness, and tissue perfusion; directly measures pressure in the heart and great vessels; provides more accurate measurements of blood pressure, heart function and volume status Perfusion/Ventilation scan Used to see how well air reaches all parts of the lungs and measure the blood supply through the lungs. LDH (lactate dehydrogenase) 100-190 U/L Natriuretic peptides secreted by atrial myocardium of the heart in response to high blood pressure Troponin Between 0 and 0.4 ng/mL Homocysteine an amino acid normally present in the blood that, when found at high levels, may be related to higher risk of cardiovascular disease C-reactive protein indicator of acute inflammation and inflammatory atheromatous plaque Normal: less than 10 (mg/L) normal sinus rhythm PQRST P wave atrial depolarization (squeeze) 1 before each QRS complex PR interval

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Nursing 252 Exam 1- Perfusion Review
Questions and Correct Answers
Mean Arterial Pressure (MAP) ✅Systolic + 2(Diastolic) /3

Pulse pressure ✅systolic pressure - diastolic pressure

Pulse pressure normal ranges ✅40-60 mmHg

cardiac catheterization ✅a diagnostic procedure in which a catheter is passed into a
vein or artery and then guided into the heart
evaluates heart function and diagnose cardiovascular conditions.

Telemetry ✅the process of continuous electrocardiographic monitoring of HR,
breathing, and BP

transesophageal echocardiography (TEE) ✅specialized echocardiography procedure
in which patient swallows ultrasound head in order to better visualize internal cardiac
structures, especially cardiac valves and blood clot status.
be aware of anticoagulation status

hemodynamic monitoring ✅Provides information about vascular capacity, blood
volume, pump effectiveness, and tissue perfusion; directly measures pressure in the
heart and great vessels; provides more accurate measurements of blood pressure,
heart function and volume status

Perfusion/Ventilation scan ✅Used to see how well air reaches all parts of the lungs
and measure the blood supply through the lungs.

LDH (lactate dehydrogenase) ✅100-190 U/L

Natriuretic peptides ✅secreted by atrial myocardium of the heart in response to high
blood pressure

Troponin ✅Between 0 and 0.4 ng/mL

Homocysteine ✅an amino acid normally present in the blood that, when found at high
levels, may be related to higher risk of cardiovascular disease

C-reactive protein ✅indicator of acute inflammation and inflammatory atheromatous
plaque

, Normal: less than 10 (mg/L)

normal sinus rhythm ✅PQRST

P wave ✅atrial depolarization (squeeze)
1 before each QRS complex

PR interval ✅atrial repolarization
0.20

QRS ✅ventricular depolarization (squeeze)

T wave ✅ventricular repolarization

Rate of NSR ✅atrial and ventricular rates of 60-100 bpm

calculating rate of NSR: atrial ✅calculate the P waves in 6 seconds x 10

calculating rate of NSR: ventricular ✅calculate the QRS complexes in 6 seconds x 10

Sinus Bradycardia ✅<60 bpm
slow irregular heartbeat

Sinus Tachycardia ✅>100 bpm
P waves still present

Supraventricular Tachycardia (SVT) ✅Extremely fast atrial rhythm with narrow QRS
complexes when the impulse originates above the bundle branches (above the
ventricles)

Treat with cardioversion and antiarrhythmics.

Atrial Flutter ✅Irregular rapid HR causing poor blood flow.

Little bumps replacing P waves before QRS and a very irregular HR.

Treat: cardioversion and antiarrhythmics and prevent clots.

Atrial Fibrilation ✅Chaotic, irregular atrial activity

No identifiable P Waves, little bumps replacing them before QRS

Treat: cardioversion and antiarrhythmics and prevent clots

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