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S3 heard sound fluid overload s4 heart sound artium contract into noncompliant ventricle LV failure. A split heart sound is heard best during ___ inspiration Mitral Insufficiency is a ___ murmur located at the ____ ICS systolic 5th A patient with mitral insufficiency is prone to which of the following dysrhythmias? A fibb What are causes of mitral regurg Causes: MI Ruptured chordae tendineae Severe left heart failure Hypertrophic cardiomyopathy Left ventricular hypertrophy MV prolapse Myxomatous degeneration Rheumatic fever Endocarditis Symptoms of mitral regurgitation - fatigue -pulmonary congestion, orthopnea, dyspnea -Heart Failure, angina Mitral Valve Stenosis sx -Left atrial enlargement ( showing increase P wave in lead II and notched P wave in lead V1) -pulmonary edema and congestion -Right vent failure -pink cheeks -A FIBB -DIASTOLIC MURMUR A patient jusr received a mitral valve replacement. What arrhythmias should we look for Heart Block (very close to the bundle of his) and A fibb -be prepared to pace Aortic regurgitation causes -HTN rheumatic fever endocarditis marfan syndrome and VAD Aortic Regurg sx -Head bobbing with pulse -wide pulse pressure 40 -water hammer pulse On an EKG with elevation in II, III, and aVf. you also see ST depression in V1. What type of MI is this Inferior posterior. On an EKG with elevation in II, III, and aVf. you also see ST elevation in V1-V3. What type of MI is this RIGHT VENTRICULAR!!! Use fluid blouses to increase BP These patient are preload dependent. Fluid first then +ionitrops What 2 AV blocks do you have to pace Mobitz and 3rd How would you treat polymorphic V Tach Magnesium (tornadoes) Your patient has Mitral regurgitation. You would expect them to have a high or low PAOP High 16 how fast do you decrease BP in hypertensive urgency Decrease BP by 25% in 1 - 2 hrs how fast do you decrease BP in HTN emergency as fast as possible patient has a BP difference of 25mmhg from the left and right arm. patient complains of ripped pain in the chest and back. What do they have aortic dissection what a common adverse outcome of stenting of a thoracic aneurysm? spinal cord ischemia signs of AAA rupture tachy, pulsation of aorta in abdomen watch kidney fuinction panels for kidney damage What is Homan's sign? Pain in calf with abrupt dorsiflexion of the foot while the knee is flexed at 90° associated with DVTs--- treat with anticoags What do these pacemaker modes mean DDD VVI AAI VVO D D D Atria/ventricle paced, atria/ventricle sensed, pacing inhibited with intrinsic rhythm/beat V V I Ventricle paced, ventricle sensed, pacing inhibited with intrinsic rhythm/beat A A I Atria paced, Atria sensed, pacing inhibited with intrinsic rhythm/beat V V O Ventricle paced, ventricle sensed, will pace regardless of intrinsic rhythm/beat (dangerous!!! - possible R on T) Why do you have to give Mag slow for polymorphic Vtach becuase it causes vasodilation What are the 5 Hs and 5 Ts with causing PEa 5 H's: Hypovolemia Hypoxia Hypo/Hyperkalemia H + ion (acidosis) Hypothermia 5 T's: Thrombus: MI PE Tension pneumothorax Tamponade Toxicology (Drug OD) What is the goal aPTT on a heparin drip? 50-80 seconds what is first line therapy for HTN ace, arb, and diuretics Add or Remove Terms