Nursing 4 Test 1
Card Set Information
Nursing 4 Test 1
Nursing 4 Cardiac test 1
What does an Echo measure?
Cardiac out put
size of the chambers
it is also helpful in dx if fluid is present in the pericardium
it is an ultrasound of the heart so it may not require an infromed consent
Transesophageal echocardiagram (TEE)
-detecting clots, tumors, or masses.
-gauge the severity of valve problems
-can be used as part of a coronary surgery
-also can be used for OBESeet (obese) people if the non -invasive echo was noneffective
-a TEE does require and informed consent and is an invasive procedure.
What is the role of the nurse following a cardiac cath?
-assess for bleeding
-apply pressure to the site, the dressing will be in the groin area
-encourage the pt to drink as soon as they are able, to flush out the dye
-PRESSURE for a minimum of 15 minutes if pt is on an anticoagulant
What should the patient expect following a cardiac cath and why is it done in the first place?
it is done to assess patency of the coronary arteries, and if done with contrast it is called an angiogram
the patient should expect to take plavix for at least a year
Plavix is motoroil for the arteries
What is the med of choice to give a pt in V-Tach Rhythm ?
Lidacane or amioderone
What is the drugs may be used as a cardioversion ?
Antiarrhythmic Drugs--- example.....amiodarone, diltiazem, verapamil and metoprolol
When is a cardioversion done?
it is synchornized with the hearbeat and done on the R wave if the pt is in A-fib
What should the P-R intraval be?
0.1-0.20... if it is 0.40 it is prolonged and is a type 1 heart block
Lead 2 ?
is easier to recognize but you need the other leads to view other views of the heart.
What does the ST segment tell you ?
if elevated it is ischemia
if decreased it is indicitive of an infarction or damage