TeeGrades

You want to get more funding for your hospital's Rapid Response Team. How should you present this issue to the committee? a. Stress importance of the team (look up evidence about how team affects outcomes) b. Describe how to improve and expand the team - cORRECT sOLUTION a. stress importance of team What is the best way for the AGACNP to get involved in policy making? a. attend legislative days at the state capitol b. join a hospital committee c. write your local congressman d. review ...

Cardiac Dysrhythmias Part 2 Exam Bundle

PCCN| Progressive Care RN 2024 Exam Bundle

Massachusetts Funeral Director Jurisprudence State Exam Bundle

ACAS (Assured Compliance Assessment Solution) Test Bundle

CQM-C Exam Bundle

AAMS Accredited Asset Management Specialist Test Bundle

Alpha Phi Alpha Exam Bundle

sinus bradycardia - cORRECT sOLUTION HR < 60 bpm bradycardia etiology - cORRECT sOLUTION - sleep - athlete - hypothyroidism, hypoxemia - IICP, altered mental status - decompensated HF - vomiting, suction, pain bradycardia manifestations - cORRECT sOLUTION - SOB - altered LOC - hypotension - EKG changes (ST changes to PVCs) bradycardia management - cORRECT sOLUTION - resolve causes - atropine - emergency transcutaneous pacing - catecholamines for symptomatic bradycardia...

Premature Ventricular Contractions (PVC): Cause - cORRECT sOLUTION - Not harmful with normal heart - In heart disease pts. PVCs reduce CO and lead to angina and HF depending on frequency - Associated with stimulants: caffeine, alcohol, nicotine, aminophylline, epinephrine, isoproterenol, digoxin, electrolyte imbalances, hypoxia, fever, exercise, and emotional stress. Heart diseases associated with PVC include... - cORRECT sOLUTION - MI - mitral valve prolapse - HF - CAD Treatment of ...

Dysrhythmia - cORRECT sOLUTION Any disorder of the heart beat or heart rhythm. Cardiac output is impaired. Cellular oxygenation is then also impaired Electrical problem will definitely effect the mechanical but a mechanical problem may not effect the electrical. Explaining dysrhythmias - cORRECT sOLUTION -Classified to their site of origin -SA node atrial tissue, AV node, junctional tissue (tissue around AV node), and ventricular tissue -Caused by a disturbance in impulse formation ...

1st Heart Block characteristics - cORRECT sOLUTION -prolong PR interval >.20 on EKG. -pt. asymptomatic 1st Heart Block causes - cORRECT sOLUTION MI, CAD, rheumatic fever, hyperthyroid, electrolyte, vagal stimulation, drugs (dig, BETAS, CCB's, Flecainide) 1st Heart Block treatments - cORRECT sOLUTION no tx. monitor for changes 2nd Heart Block Type 1 characteristics - cORRECT sOLUTION -PR interval progressively gets longer until QRS drops, then repeat -going, goingg, goinggg, gone ...

Describe treatment of dysrhythmias - cORRECT sOLUTION To determine if treatment is necessary, assess the patient. Then ask the following questions: Is he or she experiencing signs and symptoms of decreased cardiac output? Is the dysrhythmia potentially life threatening? If the answer to either of these questions is yes, the patient will need to treatment for the dysrhythmia. ***WE WILL DISCUSS TREATMENTS OF DYSRHYTHMIAS BASED UPON CURRENT ACLS TREATMENT ALGORITHMS CLINICAL MANIFESTATION...

Prolonged AV conduction. ECG PR interval > 0.20 A. First Degree AV Block B. Second-Degree AV Block Type I (Mobitz I or Wenchebach) C. Second-Degree AV Block Type II D. Third Degree AB Block (Complete heart block) - cORRECT sOLUTION A Caused from ischemia, drug toxicity, hypokalemia and is asymptomatic. Treatment consists of dig level, K+ level, monitor for lengthening- further block A. First Degree AV Block B. Second-Degree AV Block Type I (Mobitz I or Wenchebach) C. Second-Deg...

Pt on Vtach, HR 135, RR 32, BP 90/48, conscious but c/o dizziness, recent K+ lvl is 3.4. What action would you do first? a. emergent defib b. amio 300mg IVP c. emergent cardioversion d. hang 10 mEq KCL/50mL D5W - cORRECT sOLUTION C Upon analyzing a patient's telemetry strip, the nurse observes the following: heart rate of 65 beats per minute, regular rhythm, PR interval of 0.22 seconds, QRS complex duration of 0.10 seconds, and QTc interval of 0.52 seconds. What dysrhythmias should the p...

What are vasopressors used for? - cORRECT sOLUTION Drugs used to elevate arterial BP with the goal of reestablishing blood floor to vital organs. -used in multiple forms of shock to maintain vascular tone -goal: keep MAP above 60 - constricts the vessels and can decrease blood flow to organs even though the map is higher when are vasopressors contraindicated - cORRECT sOLUTION pt in cariogenic shock **because they increase after load and myocardial oxygen consumption what is an...

1. Cardiac - cORRECT sOLUTION 1. Cardiac Pt's EKG shows ST elevation in leads II, III, and aVF. Where is the MI? - cORRECT sOLUTION Inferior wall MI, Right coronary artery "Reciprocal changes are often seen ini leads I and aVL" Pt's EKG shows ST elevation in leads V1 and V2. Where is the MI? - cORRECT sOLUTION Septal area, Left Anterior Descending Artery Pt's EKG shows ST elevation in leads V3 and V4. Where is the MI? - cORRECT sOLUTION Anterior area Pt has ST elevation in le...

Which of the following medications is MOST commonly indicated for patients with CHF? - cORRECT sOLUTION Ace inhibitors A patient was involved in a motor vehicle accident and CAT scan results reveal a right sided SDH. What would be an expected neurological assessment finding in this patient? - cORRECT sOLUTION Dilated right pupil What is the most common symptom of SIADH? - cORRECT sOLUTION Fluid retention Upon arrival to the unit, you receive report on four PCU patients. Which patient sh...

You want to assess for jugular vein distention (JVD). What position would be BEST? - cORRECT sOLUTION Position patient on their back with head of bed at 30 to 45 degrees. Your patient with triple cardiac bypass surgery is post-op day 3. Chest tubes have been removed. They suddenly report palpitations. Their blood pressure is 130/76 and heart rate is 140 bpm. What would you do NEXT? - cORRECT sOLUTION Perform a bedside EKG Your patient has a history of renal insufficiency. What class of ana...

Which of the following medications is MOST commonly indicated for patients with CHF? - cORRECT sOLUTION Ace inhibitors A patient was involved in a motor vehicle accident and CAT scan results reveal a right sided SDH. What would be an expected neurological assessment finding in this patient? - cORRECT sOLUTION Dilated right pupil What is the most common symptom of SIADH? - cORRECT sOLUTION Fluid retention Upon arrival to the unit, you receive report on four PCU patients. Which patient sh...