Nursing 4 Test 1

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Author:
Cadesbabe
ID:
132728
Filename:
Nursing 4 Test 1
Updated:
2012-02-07 17:26:34
Tags:
cardiac
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Nursing 4 Cardiac test 1
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  1. What does an Echo measure?
    • Cardiac out put
    • Ejection fraction
    • 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
  2. 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.
  3. 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
  4. 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
  5. What is the med of choice to give a pt in V-Tach Rhythm ?
    Lidacane or amioderone
  6. What is the drugs may be used as a cardioversion ?
    Antiarrhythmic Drugs--- example.....amiodarone, diltiazem, verapamil and metoprolol
  7. When is a cardioversion done?
    it is synchornized with the hearbeat and done on the R wave if the pt is in A-fib
  8. 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
  9. Lead 2 ?
    is easier to recognize but you need the other leads to view other views of the heart.
  10. What does the ST segment tell you ?
    • if elevated it is ischemia
    • if decreased it is indicitive of an infarction or damage

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