NSG 4100 EXAM 3
What area of the heart is CVP (central venous pressure) measuring and what is it
indicative of?
right atrium, dehydration: <2, fluid overload: >6
What are the nursing considerations for central line catheter care?
CLABSI: hand hygiene, sterile barrier during insertion, chlorhexidine, cath side
selection- avoid femoral, daily review of necessity- remove ASAP
Bradycardia
symptomatic/asymptomatic. meds: atropine/ pacemaker
Tachycardia
treat the cause of it
Afib
clots, anticoagulated, convert. meds: amiodarone, cardiovert
,Vtach: pulse
check RR, give amiodarone and cardiovert
Vtach: pulseless
code, defib, amiodarone
priority with V Tach
always check your patient's pulse
Vfib
shock, low Mg
Asystole
NO SHOCK, epi, check in 2 leads to make sure it is not fine Vfib
What education would you provide to a patient with Cardioverter Defibrillator
(IAD)?
, no magnetic fields, show card at airport security, don’t put cell phone in shirt pocket
on side of pacemaker, immediate po: don’t raise arms for 2 weeks to avoid
dislodging, initially avoid soaking in water, avoid heavy lifting, monitor site for
infection
What EKG finding would indicate a myocardial infarction?
STEMI
What teaching would you provide a patient who is planning to go home after an MI
in order to prevent further attacks?
Diet- heart healthy, exercise- nothing vigorous, medication compliance/knowledge,
smoking cessation, when to call MD- new/worsening chest pain, High BP
Pre-op considerations for an angioplasty procedure
NPO before surgery, inform pt on what to expect/timing, meds to be given for
comfort- do not give before signing consents, coping, baseline: PT/PTT/INR, worry
about creatinine d/t contrast use
Possible complications post-angioplasty and what would you assess to
prevent/identify them
observe site for hematoma, check peripheral pulses: q15 min for 1 hour, q30 min for
1 hour, q1h for 4 hours, monitor for dysrhythmia and chest pain, bed rest for 6 hours-
What area of the heart is CVP (central venous pressure) measuring and what is it
indicative of?
right atrium, dehydration: <2, fluid overload: >6
What are the nursing considerations for central line catheter care?
CLABSI: hand hygiene, sterile barrier during insertion, chlorhexidine, cath side
selection- avoid femoral, daily review of necessity- remove ASAP
Bradycardia
symptomatic/asymptomatic. meds: atropine/ pacemaker
Tachycardia
treat the cause of it
Afib
clots, anticoagulated, convert. meds: amiodarone, cardiovert
,Vtach: pulse
check RR, give amiodarone and cardiovert
Vtach: pulseless
code, defib, amiodarone
priority with V Tach
always check your patient's pulse
Vfib
shock, low Mg
Asystole
NO SHOCK, epi, check in 2 leads to make sure it is not fine Vfib
What education would you provide to a patient with Cardioverter Defibrillator
(IAD)?
, no magnetic fields, show card at airport security, don’t put cell phone in shirt pocket
on side of pacemaker, immediate po: don’t raise arms for 2 weeks to avoid
dislodging, initially avoid soaking in water, avoid heavy lifting, monitor site for
infection
What EKG finding would indicate a myocardial infarction?
STEMI
What teaching would you provide a patient who is planning to go home after an MI
in order to prevent further attacks?
Diet- heart healthy, exercise- nothing vigorous, medication compliance/knowledge,
smoking cessation, when to call MD- new/worsening chest pain, High BP
Pre-op considerations for an angioplasty procedure
NPO before surgery, inform pt on what to expect/timing, meds to be given for
comfort- do not give before signing consents, coping, baseline: PT/PTT/INR, worry
about creatinine d/t contrast use
Possible complications post-angioplasty and what would you assess to
prevent/identify them
observe site for hematoma, check peripheral pulses: q15 min for 1 hour, q30 min for
1 hour, q1h for 4 hours, monitor for dysrhythmia and chest pain, bed rest for 6 hours-
