Complete Questions And Correct Answers With
Rationales | Already Graded A+||Brand New Version!!
prevention of aortic valve stenosis - ---answer---;controlling risk factors
- diabetes
- hypertension
- hypocholesteremia
- elevated triglycerides
- smoking cessation
management for aortic valve stenosis - ---answer---;arrhythmia medication
aortic valve replacement
stable angina - ---answer---;chest pain that is predictable and stable
- typically resolved with rest and/or medication
unstable angina - ---answer---;symptoms increase in frequency and severity
- may not be resolved with rest or medication
,symptoms of stable angina - ---answer---;mild indigestion to heavy choking feeling
in the chest
- felt deep in chest behind sternum
usually poorly localized so it may radiate
- neck, jaw, shoulders, upper inner arms
numbness
SOB
pallor
**usually predictable
cardiac tamponade - ---answer---;compression of the heart resulting from fluid or
blood within the pericardial sac
- usually caused by blunt or penetrating trauma
- can be a complication of cardiac surgery
symptoms of cardiac tamponade - ---answer---;arterial hypotension
tachycardia
decreased output
external defibrillation - ---answer---;unsynchronized shock delivery
must have good contact between skin & pads/paddles
no one should be touching the patient
"clear!" should be called out 3 times prior to shock
if CPR is necessary, after about 5 cycles (2 mins), check for pulse and deliver shock
again
,inspect skin for burns
what disorders does ACS include? - ---answer---;unstable angina
STEMI
NSTEMI
what rhythms require cardioversion? - ---answer---;atrial fibrillation
ventricular tachycardia
SVT
main characteristic of premature ventricular contractions (PVC) - ---answer---
;irregular rhythm
may have an absent P wave
almost looks like there is an extra QRS complex
main characteristic of atrial fibrillation - ---answer---;atrial rate is 300-600 bpm
no identifiable P waves
main characteristic of ventricular fibrillation - ---answer---;ventricular rate is
greater than 300
very irregular rhythm
no P waves
main characteristic of 3rd degree heart block - ---answer---;more P waves than
QRS complex
, irregular PR intervals
Indicators that wound have been healed: - ---answer---;presence of granulation,
re- epithelialization, and scar tissue formation. Decreased wound size and no new
wounds.
Debridement: - ---answer---;removal of cellular debris from the burn wound.
Priority care: assessing the wound, providing wound care, and preventing
infection.
Hydrotherapy - ---answer---;used to debrided and examine the wounds. It is
performed by showering the patient on special shower table or washing only
small areas of the wound at the bedside. This enhances wound inspection and
allows water temp to be kept constant. Immersion in tub is no longer performed
because it increases the risk of infection. The use of forceps/scissors is used to
remove loose, dead tissue during hydrotherapy. Small blisters are left intact
because they are protective barrier that promotes wound healing. Large blisters
are opened. Washcloths/gauzes sponges are used to debride the cheesy eschar
Autolysis - ---answer---;the disintegration of tissue by the action of the patient's
own cellular enzymes. This is slow and prolongs hospital stay and increases the
risk of infection.
Standard wound dressings - ---answer---;dressing changed and reapplied every
12-24 hrs. after thoroughly cleaning the areas.
Homografts/allografts - ---answer---;are human skin obtained from a cadaver and
provided through a skin bank. Disadvantages: expensive and risk of transmitting
blood borne infection.