PCCN Blue practice Questions with 100 % correct Answers | Verified

Coronary sinus - Answer Main venous drainage vessel of the heart AV Valves - Answer Tricuspid and pulmonic Systolic murmur - Answer Aortic stenosis Mitral regurgitation Key treatments in management of HF - Answer -ACE -BB -Diuertics Pericardial tamponade - Answer -Equalization of left & right atrial pressures (CVP and PAOP) -Hypotension -Distended neck veins -auscultate heart sounds frequently to identify muffling of heart sounds in pericarditis prior to tamponade Pericarditis tx - Answer -pain relief (anti-infam/sterioidal( -antipyretic -cont EEG (dysrhythmia early s/s of cardiac tamponade) -ABG/ cont pulse ox for signs of hypoxemia Cardiac tamponade - Answer -diastolic dysfunction (heart can't relax to fill w blood) -produces drop in blood pressure during inspiration (pulus paradox, SBP decreases by 20) -CVP and PAOP equal -pulmonary and venous engorgement Mitral valve rupture - Answer Post MI complication -dyspnea-orthopnea -paroxsmal nocturnal dyspnea -elevated PAOP -pulm hyperTN -decreased CO -crackles -holosystolic murmur at apex -s3 -s/s of R HF Mitral stenosis - Answer -most commonly due to rheumatic fever -dyspnea on exertion -progressive fatigue -cough -hemoptysis -R HF -elevated PAOP / RV pressures -afib Aortic insufficiency - Answer -fatigue -dyspnea -paroxysmal nocturnal dyspnea -orthopnea -angina -widened pulse presssure -s3 -systolic murmur aortic area & era's point -sinus tach -elevated PAOP