Cardiovascular -- Barron's CCRN
A pt qualifies for what with a Class 2-four CHF? - ANS-an ICD
Abd aortic aneurysm (75% of all aneurysms) - ANS-- asymptomatic if small
- pulsations within the ABD area
s/s: N&V, surprise
Acute decompensated heart failure - ANS-abrupt onset of s/s that leaves a person
hospitalized
an severe drop in stroke extent secondary to systolic disorder effects in... - ANS-- extended
LV preload with associated pulmonary signs and symptoms
- accelerated LV afterload because of vasoconstrictive compensatory mechanisms
- drop in cardiac output which creates insufficient perfusion to organs.
Are those murmurs acute or chronic? - ANS-Stenosis = persistent
Insufficiency = acute or continual
balloon remedy for cardiogenic surprise (VAD) - ANS-inflation will increase coronary artery
perfusion
Deflation decreases afterload
Best approach for giving labetalol? What is the max dose? Durations impact? - ANS--
Preferred to offer intermittent doses rather than continuous.
- max dose = 300 mg
- Duration = four-6 hrs after IV discontinue
Cardiomyopathy in diastolic HF - ANS-idiopathic hypertrophic subaortic stenosis (IHSS),
hypertrophic cardiomyopathy (HCM), Hypertrophic obstructive cardiomyopathy (HOCM)
Cardiomyopathy in systolic HF - ANS-dilated may additionally motive systolic HF, mitral
valve insufficiency
Causes of QT prolongation - pills? Electrolyte problems? Treatment? - ANS-capsules -
amiodarone, quinidine, haloperidol, procainamide
Electrolyte - hypokalemia, hypocalcemia, hypomagnesemia
Tx - magnesium
reasons of valvular coronary heart ailment - ANS-- coronary heart disorder
- dilated cardiomyopathy
- Degeneration
- Bicuspid aortic valve
- Rheumatic fever
- Infection
- Connective tissue illnesses
Class 1 CHF - ANS-extremely good hobby consequences in coronary heart failure signs.
Normal activity does not motive signs.
Class 2 CHF - ANS-Ordinary physical interest causes signs. Resting can be secure.
Class three CHF - ANS-Minimal hobby results in symptoms. Resting will be relaxed.
Class four CHF - ANS-Symptoms will occur at relaxation.
Compensatory level of Cardiogenic surprise - ANS-tachycardia
tachypnea
crackles w/ slight hypoxia
, ABG w/ resp. Alkalosis or early metabolic acidosis
Anxiety/irritability
Neck vein distention
S3
cool pores and skin
urine output down
slender pulse pressure
BP maintained but lower than baseline
complications of PCI? - ANS-- dying price 0.Seventy one%; in hospital MI zero.4%
- coronary artery perforation
- distal coronary embolization
- Stent thrombosis -- commonly acute (much less than 24 hours) or subacute (much less
than 30 days)
- stroke or TIA
- arrhythmias
- Renal Failure
- retroperitoneal bleed
Contradindications for fibrinolytic remedy? - ANS-- any prior intracranial hemorrhage
- regarded structural cerebral vascular lesion
- malignant intracranial neoplasm
- Ischemic stroke within 3 months besides acute ischemic stroke inside three hours
- feasible aortic dissection
- active bleeding/diathesis (besides menses)
- closed head fracture or facial trauma in three months.
Contraindications of BB's? - ANS-- hypotension
- Bradycardia
- use of phosphodiesterase inhibitors (like sildenafil (viagra))
- acute chest pain because of cocaine
Contraindications of systolic/Diastolic HF - ANS-systolic - Negative inotropes (calcium
channel blockers beta blockers)
Diastolic - Positive inotropes, Dehydration, Tachyarrhythmias.
Diastolic BP represents what? - ANS-Systemic vascular resistance (SVR)
Diastolic Cardiomyopathy physical aspects - ANS-- Diastolic dysfunction (problem filling)
- Increased thickening of the coronary heart muscle and septum inwardly affecting the LV
chamber
Dilated Cardiomyopathy bodily factors - ANS-- Systolic disorder (hassle ejecting)
- thinning dilation and growth of LV chamber
- Mitral valve regurgitation not unusual
Dilated cardiomyopathy shares signs and symptoms with what trouble? - ANS-Systolic Heart
failure
ECG changes in I, aVL - ANS-High lateral LV
ECG modifications in II, III, aVF - ANS-right coronary artery (RCA), Inferior Left Ventricle
ECG changes in V1, V2 - ANS-Right coronary artery, Posterior LV
ECG changes in V1, V2, V3, V4 - ANS-Left anterior descending (LAD), Anterior LV
ECG modifications in V3R, V4R - ANS-right coronary artery, Right ventricular infarct
ECG modifications in V5, V6 - ANS-Low lateral LV
ECG modifications in V5, V6, I, aVL - ANS-Circumflex, Lateral LV
A pt qualifies for what with a Class 2-four CHF? - ANS-an ICD
Abd aortic aneurysm (75% of all aneurysms) - ANS-- asymptomatic if small
- pulsations within the ABD area
s/s: N&V, surprise
Acute decompensated heart failure - ANS-abrupt onset of s/s that leaves a person
hospitalized
an severe drop in stroke extent secondary to systolic disorder effects in... - ANS-- extended
LV preload with associated pulmonary signs and symptoms
- accelerated LV afterload because of vasoconstrictive compensatory mechanisms
- drop in cardiac output which creates insufficient perfusion to organs.
Are those murmurs acute or chronic? - ANS-Stenosis = persistent
Insufficiency = acute or continual
balloon remedy for cardiogenic surprise (VAD) - ANS-inflation will increase coronary artery
perfusion
Deflation decreases afterload
Best approach for giving labetalol? What is the max dose? Durations impact? - ANS--
Preferred to offer intermittent doses rather than continuous.
- max dose = 300 mg
- Duration = four-6 hrs after IV discontinue
Cardiomyopathy in diastolic HF - ANS-idiopathic hypertrophic subaortic stenosis (IHSS),
hypertrophic cardiomyopathy (HCM), Hypertrophic obstructive cardiomyopathy (HOCM)
Cardiomyopathy in systolic HF - ANS-dilated may additionally motive systolic HF, mitral
valve insufficiency
Causes of QT prolongation - pills? Electrolyte problems? Treatment? - ANS-capsules -
amiodarone, quinidine, haloperidol, procainamide
Electrolyte - hypokalemia, hypocalcemia, hypomagnesemia
Tx - magnesium
reasons of valvular coronary heart ailment - ANS-- coronary heart disorder
- dilated cardiomyopathy
- Degeneration
- Bicuspid aortic valve
- Rheumatic fever
- Infection
- Connective tissue illnesses
Class 1 CHF - ANS-extremely good hobby consequences in coronary heart failure signs.
Normal activity does not motive signs.
Class 2 CHF - ANS-Ordinary physical interest causes signs. Resting can be secure.
Class three CHF - ANS-Minimal hobby results in symptoms. Resting will be relaxed.
Class four CHF - ANS-Symptoms will occur at relaxation.
Compensatory level of Cardiogenic surprise - ANS-tachycardia
tachypnea
crackles w/ slight hypoxia
, ABG w/ resp. Alkalosis or early metabolic acidosis
Anxiety/irritability
Neck vein distention
S3
cool pores and skin
urine output down
slender pulse pressure
BP maintained but lower than baseline
complications of PCI? - ANS-- dying price 0.Seventy one%; in hospital MI zero.4%
- coronary artery perforation
- distal coronary embolization
- Stent thrombosis -- commonly acute (much less than 24 hours) or subacute (much less
than 30 days)
- stroke or TIA
- arrhythmias
- Renal Failure
- retroperitoneal bleed
Contradindications for fibrinolytic remedy? - ANS-- any prior intracranial hemorrhage
- regarded structural cerebral vascular lesion
- malignant intracranial neoplasm
- Ischemic stroke within 3 months besides acute ischemic stroke inside three hours
- feasible aortic dissection
- active bleeding/diathesis (besides menses)
- closed head fracture or facial trauma in three months.
Contraindications of BB's? - ANS-- hypotension
- Bradycardia
- use of phosphodiesterase inhibitors (like sildenafil (viagra))
- acute chest pain because of cocaine
Contraindications of systolic/Diastolic HF - ANS-systolic - Negative inotropes (calcium
channel blockers beta blockers)
Diastolic - Positive inotropes, Dehydration, Tachyarrhythmias.
Diastolic BP represents what? - ANS-Systemic vascular resistance (SVR)
Diastolic Cardiomyopathy physical aspects - ANS-- Diastolic dysfunction (problem filling)
- Increased thickening of the coronary heart muscle and septum inwardly affecting the LV
chamber
Dilated Cardiomyopathy bodily factors - ANS-- Systolic disorder (hassle ejecting)
- thinning dilation and growth of LV chamber
- Mitral valve regurgitation not unusual
Dilated cardiomyopathy shares signs and symptoms with what trouble? - ANS-Systolic Heart
failure
ECG changes in I, aVL - ANS-High lateral LV
ECG modifications in II, III, aVF - ANS-right coronary artery (RCA), Inferior Left Ventricle
ECG changes in V1, V2 - ANS-Right coronary artery, Posterior LV
ECG changes in V1, V2, V3, V4 - ANS-Left anterior descending (LAD), Anterior LV
ECG modifications in V3R, V4R - ANS-right coronary artery, Right ventricular infarct
ECG modifications in V5, V6 - ANS-Low lateral LV
ECG modifications in V5, V6, I, aVL - ANS-Circumflex, Lateral LV
