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1. What can you infuse Hypertonic Solutions
through the CVP monitor-
ing system? -No hypotonic (dextrose) b/c it can cause infection and phlebitis
2. What procedure is the Synchronized cardioversion
treatment for V-Tach (with
a pulse)?
3. V-Tach with NO pulse Defibrillation
4. Know what V-Tach rhythm -It's a fast HR with no P-waves
looks like: -DO NOT give atropine or epi
-Trx: synchronized cardioversion
5. What symptoms are emer- Low O2 = dizziness and palpitations
gent with restrictive car-
diomyopathy?
6. What is the IV medication Magnesium Sulfate with Isoproterenol
treatment for Torsades de -b/c it is a calcium channel blocker and shorten the Q-T interval
pointes?
7. Cardioverter defibrillator -Change battery every day
vest -You must wear this vest at all times under clothing
-shock is delivered once a life threatening dysrhythmia is detected
8. Where is an implantable -Upper chest for males
cardioverter defibrillator -Under the breast for females
placed?
9. MI s/s -Chest pain that continues after medications are given
-N/V and indigestion
-Impending doom
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, NSG 4100 Exam #3
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10. Vagal stimulation can ____ , -Decrease a heart rate
even _____, what is given for -causing bradycardia
bradycardia? -atropine
11. Dilated cardiomyopathy Diastolic Murmur (S3)
can cause what kind of
heart murmur?
12. Pacemaker contraindica- -High strength magnets (MRI)
tions -if pt has pocket near pacemaker to move phone away from pace-
maker
13. What should you know -Microvessel hemorrhages
about a patients history be- -bleeding disorders or is actively bleeding
fore IV thrombolytics are -history of recent surgeries or has a trauma
administered? -Do NOT give if they have a brain tumor, b/c this could cause the
tumor to bleed in the brain
14. Serum potassium levels <3 Ventricular Extrasystole
(Hypokalemia), causes pro- -no diastole just extra-systoles
gressive depression of the
ST-segment, a decrease in
T-wave amplitude, and an
increase in U-wave ampli-
tude
15. Acute coronary syndrome -Unstable angina
is a collection of: -MI
-or sudden cardiac arrest
16. How does a MI show on an ST-elevation
ECG?
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