Card Set Information

2014-11-16 21:35:10
med surge
med surge
Show Answers:

  1. bradycardia medicine and electrical management
    Atropine and isoproterenol

  2. a fib meds and electrical management
    amiodarone, adenosine, and verapamil

    synchronized cardioversion
  3. ventricular tachycardia meds and electrical management
    amiodarone, lidocaine, and epinephrine

  4. cardioversion def
    the delivery of a direct countershock to the heart synchronized to the QRS complex
  5. Defibrillation def
    delivery of an unsynchronized, direct countershock to the heart. Stops all electrical activity of heart, allowing SA node to take over and reestablish a perfusing rhythm
  6. Indications for cardioversion
    elective treatment of atrial dysrhythmias, supraventicular tachycardia, ventricular tachycardia with a pulse. 

    Treatment of choice for clients who are symptomatic
  7. Debrillation indications
    ventricular fibrillation or pulseless ventricular tachycardia
  8. pt must recieve anticoagulation for how long before cardioversion
    4-6 week
  9. digoxen is held for ________ before elective cardioversion
    48 hr
  10. Drugs for ateriosclerosis
    • HMG-COA reductase inhibitors
    • Statins-monitor liver function and muscle cramps
    • Ezetimine (zetia) inhibits cholesterol absorption in small intestine
    • Niacin, Vit. B, omega 3
  11. _______ of the left ventricle can develop ast he heart pumps against resistance caused by hypertension
  12. state 1 hypertension
    140-159/ 90-99
  13. stage 2 hypertension
    more than or equal to 160/100
  14. tall R- waves are often seen with
    left ventricular hypertrophy
  15. hypertensive crisis
  16. iv antihypersensive for hypertensive crisis
    • nitroprusside (nitropress) 
    • nicardipine (Cardene)
    • labetalol hydrochloride

    Monitor bp every 5-15 min
  17. pt with hypertension should eat how much salt?
    less tahn 2.3 g/day
  18. calcium channel blockers for hypertension
    • Verapamil hydrochloride (Calan)
    • amlodipine (Norvasc)
    • diltiazem (cardizem)

    • Avoid grape fruit juice
    • hypotension common
    • change positions slowly
  19. constipation can occur with which drug
    verapamil hydrochloride
  20. ace inhibitors for hypertension
    • cough common
    • angioedema
    • hypotension
    • s and s of HF
  21. Angiotension 2 blockers for hypertension
    • cardesartan (atacand)
    • losartan (cozaar)
    • telmisartan (Micardis)

    • Angioedema serious
    • change positions slowly
    • hyperkalemia
  22. aldosterone receptor antagonists for hypertension
    eplerenone (Inspra)

    • monitor kidney function
    • monitor potassium every 2 weeks then every 2 months for hyperkalemia
    • grape fruit juice and st johns wart
  23. beta blockers
    • metoprolol
    • atenolol