Questions And Answers Verified 100% Correct
Ventricular fibrillation v. fib - ANSWER Course v. fib with prominent,
erratic baseline or fine v. fib with far less pronounced vacillations. No p,
qrs, or t. Often precedes asystole.
Class III - ANSWER Pt has severe systemic disturbance or
disease.
Class IV - ANSWER Patient has a severe, life threatening
systemic disorder.
Class V - ANSWER Patient is moribund with little chance of
survival. Surgery is done in desperation.
Class II - ANSWER Patient has mild to no systemic disturbance.
Smokers included.
Class I - ANSWER Patient has no organic, biochemical,
psychiatric, or physiological disturbance.
Beta blockers - ANSWER Reduce the rate and force of
contraction of the heart. (Atenolol)
Vasodilators - ANSWER Reduce the pressure vasculature.
(Norvasc, lisinopril, diovan)
Diuretics - ANSWER Reduce the volume of fluid in system. Used
to treat coronary artery disease. (HCTZ, Lasix)
Hypertension - ANSWER Blood pressure of 140/90 or greater.
(Hx of nosebleeds, headaches, and dizziness)
Rate of ventricles - ANSWER 20-40
,Rate of AV node - ANSWER 40-60
Rate of atria - ANSWER 60-80
Arrest rhythms - ANSWER Ventricular dysrhythmias
Rate of SA node - ANSWER 60-100
Social history review of systems - ANSWER Patients smoking and
alcohol history/current use should be noted along with illegal drug use.
Ventricular foci - ANSWER Located in ventricles
Supraventricular foci - ANSWER Located above level of
ventricles in atria.
Antibiotic prophylaxis for total joint replacement patients - ANSWER
Previous joint infection, 2 yrs following joint replacement, malnourishment,
hemophilia, diabetes type I, immunosuppressed or immunocompromised
patients.
AV blocks - ANSWER PR length is prolonged or varies in length due to
impulse being partially or completely blocked as it attempts to travel from
atria to ventricles via AV node.
Patients who need antibiotic prophylaxis - ANSWER Previous
infective endocarditis, prosthetic valves, cardiac transplant
patients who develop valvulopathy, congenital heart disease.
Congestive heart failure - ANSWER Condition caused by the
heart is unable to handle blood volume coming back to it from
either the lungs or peripheral circulation.
3 characteristics of normal heart rhythms - ANSWER Rate,
regularity, and rhythm.
, MVP (mitral valve prolapse) - ANSWER One or more of valve flaps don't
close completely allowing redundancy of valve leaflets into left atrium.
Rheumatic heart diseases - ANSWER Condition caused secondary to
rheumatic fever (beta hemolytic streptococci) which damages the heart
valves, primarily the mitral valve, and causes heart murmur.
MI (myocardial infarction) - ANSWER Heart attack. Six should
be performed on patient until 6 months after.
Right sided heart failure - ANSWER Increased pressure of fluid in blood
vessels causes fluid to leak into body's tissues causing peripheral edema
and ascites
Review of systems musculoskeletal - ANSWER Weakness of
extremities, atrophy of muscles, frequent cramping of muscles
Left sided heart failure - ANSWER Increased pressure of fluid in
blood vessels causes fluid to leak into lungs. Patients often
present with shortness of breath.
.
Review of systems neurologic - ANSWER Weakness of extremities, hx
of projectile vomiting, headaches, visual disturbances, any unexplained
pain or numbness in body.
Review of systems pulmonary - ANSWER Shortness of breath,
dizziness, chronic cough, wheezing, productive cough.
Review of systems genitourinary - ANSWER Painful urination,
blood in urine, frequent urination, incontinence, discharge in urine.
Review of systems gastrointestinal - ANSWER Loss of appetite,
swallowing, change in taste, nausea, vomiting, diarrhea,
constipation.