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what to do in torsades - ANSWER-- give
Mg Sulfate
-
CPR
- defibrillate
what drugs lengthen QTc - ANSWER-- antiarrhythmics
- antipsychotics
- antidepressants
where do we monitor bundle branch blocks - ANSWER-- V1
what does a LBBB look like - ANSWER-- inverted and wide QRS
and elevated
T or
opposite
,- usually means MI
what does a RBBB look like - ANSWER-- rSR bunny
ear pattern
- wide
QRS
- inverted T
waves
the patient has developed new coarse crackles, SOB, and JVD.
he has a hx of
CHF and pitting edema in the extremities. all of the
assessments indicate he
has high preload
EXCEPT
a. course crackles
b. SOB
c. JVD
d. edema - ANSWER-d
Pt. has dry mouth, tachycardia and low UO after diuresing 1.5 L
from lasix. he has weak pedal pulses and pale lower
extremities. Which best describes his hemodynamics
,a. high preload and
vasodilated
b. high preload and
vasoconstricted
c. low preload and
dilated
d. low preload and constricted -
ANSWER-d
what is blood pressure - ANSWER-- MAP =
CO x SVR
- increase in CO or SVR will increase MAP and
vice versa
- patient with MAP of 60 can have high or low CO and high or
low SVR
*a good BP does not mean good perfusion*
V1 and V2 look at what part of the heart - ANSWER-- septum
common inotropes used - ANSWER-- milrinone
- dobutamine
- dopamine
, MEds to give before dialysis - ANSWER-- insulin
- pain meds
- phosphate binders
- anti seizure
- anti psychotic
- HR control and long acting antihypertensives
- heparin
- anti rejection
- meds given TID or more
meds to Hold before dialysis - ANSWER--
antibiotics
-
diuretics
- short acting
antihypertensives
- once a day meds like vitamins and
aspirin
V3 and V4 look at what part of the heart - ANSWER-- anterior
V5 and V6 look at what part of the heart - ANSWER-- lateral