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| Antiarrhythmic medicaton drug tht strengthens the contractions of the heart muscle slows the heart rate and helps elimate fluid from the body tissue. It is often used to treat congestive heart failure and is also used to treate certain arrhythmias |
Digitalis digoxin |
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sue524 Sun, 05 Feb 2012 04:35:33 GMT |
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| Antiarrhythmic med that predominantly block potassium channels prolonging repolarization and prevent arrhythmias it is ? name three drugs |
potassium channel blockers
sotalol
amiodarone
bretylium |
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sue524 Sun, 05 Feb 2012 04:35:33 GMT |
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| antiarrhythmic medications that slow the heart rate decrease cardiac out, lessen the force with which the heart muscle contracts and reduces blood vessel contraction. They do this by blocking beta-adrenergic receptors in various parts of the body they are? name two drugs? |
Beta blockers
lopressor and trprol XL |
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sue524 Sun, 05 Feb 2012 04:35:33 GMT |
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| antiarhythmic drugs that block socium channels by bindin got the occluding the extracellular pore opening of the channel are? name two drugs |
sodium channel blockers
Liodocain and procainamid |
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sue524 Sun, 05 Feb 2012 04:30:23 GMT |
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| type of antiarhythmic drug that blocks the movement of calcium into the heart and blood vessel muscle cells, which can decrease the pumping strenght of the heart and relax blood vells are? name the drug |
calcium channel blockers amlodipine |
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sue524 Sun, 05 Feb 2012 04:30:23 GMT |
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Antiarhythmic medications type are
1. 2 3 4 5 |
1 calcium channel blockers
2sodium channel blockers
3 beta blockers
4 potassium channel blockers
5 digitalis and digoxin |
0 |
sue524 Sun, 05 Feb 2012 04:30:23 GMT |
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| nursing diagnosis for clients with cardiogenic shock are 1 2 3 4 5 |
1. imparied tissue perfusion
2 impaired gas exchange
3 anxiety
4 Acute pain
5 Ineffective breathing pattern |
0 |
sue524 Sun, 05 Feb 2012 04:30:23 GMT |
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| blood and blood products are 123456 |
1 whole blood
2 packed RBC
3 Platelets
4 Fresh Frozen Plasma
5 cryoprecipitate |
0 |
sue524 Sun, 05 Feb 2012 04:12:52 GMT |
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Colloids solutions are 1 2 3 4
colloids solutions are used for 1 2 |
1. 5% albumin
2. Hetastarch
3. plasma protein fraction
4. dextran
1. reduction in platelet adhesiveness
2 reduction in blood coagulation |
0 |
sue524 Sun, 05 Feb 2012 04:12:52 GMT |
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Crystalloid solutions
Isotonic is
1 2 3
Hypotonic solutions are
1 2 |
1 0.9% NS
2 Ringer lactate
3 ringers solution
1. .045% NS
5% dextrose in water D5W |
0 |
sue524 Sun, 05 Feb 2012 04:12:52 GMT |
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in cardiogenic shock treatment fluid replacement is needed with
1 to increase fluid volume intravascular + ingterstitial space
2 for vascular increase fluids moves from interstitial to vascular system
3 to expand volume and oxygen |
1 crystalloid solutions
2 colloid solutions
3 blood and blood products |
0 |
sue524 Sun, 05 Feb 2012 04:12:52 GMT |
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drugs to treat cardiogenuic shock
1 vasoactive drugs causeing
2 inotropic drugs to
3 diureticsodium
4 bicargonate to treat
antiobiotics and antiarrhythmics and steroids
5 morphine sulfate to |
1 vasoconstriciton
2 improve cardiac contractility
3 increase urine output
4 acidosis
5 dilate veins, anxiety and pain |
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sue524 Sun, 05 Feb 2012 04:06:07 GMT |
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in cardiogenic shock chrebral perfusion do what ?
2 hypotension or hypertension?
3 heart rate is ?
4nails and lips and skin are
5back flow of blood causes
6 cool clammy and mottled skin is due to |
1 decrease
2 hypotension
3 tachycardia
4 cyanosis
5 jugular distention
6 vasoconstriction |
0 |
sue524 Sun, 05 Feb 2012 04:06:07 GMT |
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| symptoms are anxiety, restlessness, altered mental status, decrease in cerebral perfusion and hypoxia, hypotension decrease in CO, rapid weak thready pulse tachycardia, rapid and deep respiration hyperventilation, fagigue doe to hyperventilation and hypoxia , pulmonary edema, cyanosis retention of blood in teh right side of the heart, increased right aterial pressure, back flow of blood via vena cava jugular distention cool clammy , and mottled skin vasoconstriciton, low urin output oliguria insufficent renal perfusion and anuria |
Cardiogenic shock |
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sue524 Sun, 05 Feb 2012 04:06:07 GMT |
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cardiogenic shoch is inadequate circulation of blood what is failing?
Cariogenic shock is casused by the heart losing it __ action |
Ventricles
pumping |
0 |
sue524 Sun, 05 Feb 2012 04:06:07 GMT |
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nursing car of catheter ablation is to hold cardiac meds
the catheter is inserted via __ or __
meds use are
Complication are __% and are |
femoral / jugular line
heparin
3% death bleeding cardiac tamponade, hematoma, strok, embolism, phneumothorax |
0 |
sue524 Sun, 05 Feb 2012 03:40:17 GMT |
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catheter ablation is a treatment for
in this high frequency electrical current delivers energy to areas of theart muscle that cause __ ___ ___ |
cardiac Arrhythmias
abnormal heart rhythms |
0 |
sue524 Sun, 05 Feb 2012 03:40:17 GMT |
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cardioverter defibrillator is programed to deliver 1 2 3
electric shock occurs when |
pacing
cardioversion
defibrillation
shock if V Fib |
0 |
sue524 Sun, 05 Feb 2012 03:40:17 GMT |
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| internal temporary pacemaker the wire is inserted into the ___ or ___ |
right atrium or right ventricle |
0 |
sue524 Sun, 05 Feb 2012 03:40:17 GMT |
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| medication used by advancedlife support als for treatment of scd are 1 2 3 |
amiodarone
atropine
lidocaine |
0 |
sue524 Sun, 05 Feb 2012 03:31:59 GMT |
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| treatment of sudden cardiac death symptoms scd is |
Basic life support BLS
use of aed
defibrillate
cpr
Advanced life support ALS
specially trained personnel advanced airway support intubatino tracheotomy cardiac defibrillation, cardiac pacing, medications amiodarone, atropine and lidocaine |
0 |
sue524 Sun, 05 Feb 2012 03:31:59 GMT |
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| symptoms of sudden cardiac death symptoms 1 2 3 4 5 6 7 8 |
severe chest pain, dyspnea, orthopnea, palpitations, light headedness, loss of conscience and death |
0 |
sue524 Sun, 05 Feb 2012 03:31:59 GMT |
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| non cardiac causes of sudden cardiac death scd |
pulmonary embolism
cerebral hemmorrhage
choking
electrical shock
electrolyte and acid base imbalance |
0 |
sue524 Sun, 05 Feb 2012 03:31:59 GMT |
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| cardiac causes of sudden cardiac death scd are 1 2 3 4 5 6 7 |
coronary heart disease
myocardial hypertrophy
cardimyopathy
valve disorder
cardiac durgs toxicity
dissecting or rupture aortic or ventricula aneurysm |
0 |
sue524 Sun, 05 Feb 2012 03:27:37 GMT |
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| sudden cardiac death scd usual cause is |
ventricula fibrillation |
0 |
sue524 Sun, 05 Feb 2012 03:27:37 GMT |
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| sudden cardiac death scd unepected death occurring within __ hour of the onset of cardiovascular symptoms |
1 hour |
0 |
sue524 Sun, 05 Feb 2012 03:27:37 GMT |
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Nursing care of pt have pcr percutaneious coronary angioplasty
1 tast in mouth is
2 feeling on chest of
3maintaing iv of
4 admin of meds of
5bed rest for
6head of bed ___ degrees
7___ __ on sit of entry usually femoral artery
8prevent __ on affeted site
9 monitor for bleeding and apply
10 monitor ___ pulses |
1 metallic
2 chest pressure
3 NTG infusion
4 anticoagulants
5 6 hours
6 30 degrees
7 sand bag
8 prevent flexion
9 pressure dressing
10 distal pulses |
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sue524 Sun, 05 Feb 2012 03:27:37 GMT |
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| this is a mettalic scaffolds wire mesh tubes keep open aterial luen stents are guided to the postion and expanded Endothelial cells will line the inside of the stent ot produce smooth inner lining anticoagulant therapy start immediatly |
Intracoronary stent |
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sue524 Sun, 05 Feb 2012 03:18:12 GMT |
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| this called a bloon tipped catheter is used, inserted with use of guided wire, destination is narrowing, balloon is inflated gradually 30 sec to 2 minutes, compression of plaque against aterial wall reduction of obsturction, usually stent is placed at this time it is |
percutaneous trasnluminal coronary angioplasty |
0 |
sue524 Sun, 05 Feb 2012 03:18:12 GMT |
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| nurisng diagnosis for pt having cabg |
decreased cardiac output
hypothermia,
acute pain
ineffective airway clearance
imparied gas exchange
risk for infection |
0 |
sue524 Sun, 05 Feb 2012 03:18:12 GMT |
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| nursing care for pt with cabg |
vs
ecg
incision care
chest tube care
fluid management
pain mangement
respiratory support, oxygen
lab values
cardiac recovery unit |
0 |
sue524 Sun, 05 Feb 2012 03:18:12 GMT |
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cabg coronary artery bypass grafting is surgical procedure for coronary heart disease it is creating a by pass between ___-___
saphenous vein in leg is used
chest tube is placed |
aorta and coronary artery |
0 |
sue524 Sun, 05 Feb 2012 03:13:45 GMT |
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| pericardiocentesis is |
large needle inserted to dran fluid from pericadial sac |
0 |
sue524 Sun, 05 Feb 2012 03:13:45 GMT |
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| treatment for cardiac tamponade is |
pericardiocentesis |
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sue524 Sun, 05 Feb 2012 03:13:45 GMT |
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| nursing diagnosis for cardiac tamponade |
imparied gas exchange
decreased cardiac output
anxiety
ineffective breathing pattern |
0 |
sue524 Sun, 05 Feb 2012 03:13:45 GMT |
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| causes of cardiac tamponade |
pericarditis, pericardial effusion , trauma, cardiac rupture, hermorraghage |
0 |
sue524 Sun, 05 Feb 2012 03:08:50 GMT |
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| hall marks of cardiac tamponade is |
paradoxical pulse, or pulsus paradoxus paradoxical pulse markedly decreases in amplitude during inspiration a drop in systolic blood pressure of more than 10mmhg during inspiration |
0 |
sue524 Sun, 05 Feb 2012 03:08:50 GMT |
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| manifestations of this results from rising intracaridac pressures, decreased diastolic filling and decreased cardiac output. muffled heart sounds dyspenaea tachypenea, tachycardia, narrowed pulse pressure and distended neck vein |
cardiac tamponade |
0 |
sue524 Sun, 05 Feb 2012 03:08:50 GMT |
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| rapid collecdtion of fluid in pericardial sac interferes with ventricular filling and pumping critically reducing cardiac output |
cardiac tamponade |
0 |
sue524 Sun, 05 Feb 2012 03:08:50 GMT |
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| non cardiac reasons pulmoonary edema are |
ards sepsis and drug overdose |
0 |
sue524 Sat, 04 Feb 2012 19:20:32 GMT |
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| cardiac reasons for pulmonary edema are |
mi, chf and valvular disease |
0 |
sue524 Sat, 04 Feb 2012 19:20:32 GMT |
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| Nursing diagnosis |
Impaired gas exchange
decreased cardiac output
feer |
0 |
sue524 Sat, 04 Feb 2012 19:01:56 GMT |
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what drug is effective for pt with cardiogeic pulmoneary and what is kept on hand for anti dote
drugs used for rapid diureses are
to decrease bronchospsm and decrese wheezing what is used
to improve cardiac output by reducing afterload what is used |
morphine naloxone is antidote
furosemide and is also a venous dilator, ethacrynic acid or bumetanide
decrease wheezineg aminophylline
cardiac afterload reduced by dopamine dobutamine and digoxin |
0 |
sue524 Sat, 04 Feb 2012 19:01:56 GMT |
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ABG are drawn 1 Pao2 is usuall
paCo2 is intially |
pao2 low
low then rises |
0 |
sue524 Sat, 04 Feb 2012 18:56:38 GMT |
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| pt with pulmonary edema is positioned |
sitting upright with legs dangling tro reduce venous return by rpping excess fluid |
0 |
sue524 Sat, 04 Feb 2012 18:56:38 GMT |
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| immediate treatment ofr acute pulmonary edema focused on restoring |
as excange and reducing fluid and presure |
0 |
sue524 Sat, 04 Feb 2012 18:56:38 GMT |
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| neurologic signs of pulmonary edema |
restlessness, anxiety, feeling of impending doom |
0 |
sue524 Sat, 04 Feb 2012 18:56:38 GMT |
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| cardiovasuclar signs of pulmonary edema |
tachycardia, hypotension, cyanosis, cool clammy skin, hypoxemia, ventricular gallop |
0 |
sue524 Sat, 04 Feb 2012 18:52:52 GMT |
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| respiratory signs fo pulmonary edma are |
tachypena, labored resp. dyspena, orthopena, paroxysmal noctunal dyspena, cough productive and frothy pink sputum, crackles and wheezes |
0 |
sue524 Sat, 04 Feb 2012 18:52:52 GMT |
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| in pulmonary edema the contractility of the ___ __ is impaired the ejection fractino fall causeing Rise in the ___ |
Left ventricular
rise in end Diastolic vloume pressure |
0 |
sue524 Sat, 04 Feb 2012 18:52:52 GMT |
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| abnormal accumlation of fluid in intersitital tissue and alveoli of lungs is |
pulmonary edema |
0 |
sue524 Sat, 04 Feb 2012 18:52:52 GMT |
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| a distrubance orirregularity in the electrical system of the heart is called |
cardiac dysrhythmia |
0 |
sue524 Sat, 04 Feb 2012 17:50:05 GMT |
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| Nusing diagnosis for mi |
acute pain
anxiety
decreased cardiac output
impaired tissue perfusion |
0 |
sue524 Sat, 04 Feb 2012 17:50:05 GMT |
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Cardiac Rehab starts with there are how many phases
the goals are 1 2 3 |
admission for MI
3 phases
increase activity, treat depression and educate client |
0 |
sue524 Sat, 04 Feb 2012 17:50:05 GMT |
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| pt with VAD are at considerable risk for? |
Infection **strict anticeptic tecnique with all invase catheters
Pneumonia is also a risk |
0 |
sue524 Sat, 04 Feb 2012 17:50:05 GMT |
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| device used as a bridge to heart transplant |
Ventricula assist device VAD |
0 |
sue524 Sat, 04 Feb 2012 17:43:01 GMT |
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| this takes partial or complete control of cardiac function used where there a chance for recovery of normal heart function after a period of cardiac rest. |
Ventricular assist device VAD |
0 |
sue524 Sat, 04 Feb 2012 17:43:01 GMT |
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in IABP when does the baloon inflate and what does it support
deflates during
IABP supplements cardiac output by approximately % - % |
inflates diastole supports cerebral, renal and coronary arther perfusion
systoly cardiac output is UNCHANGED
10% 15% |
0 |
sue524 Sat, 04 Feb 2012 17:43:00 GMT |
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| This ____ catheter inflates during diastole incrassing perfusion of coronary and renal arteries and deflates jsut prior to ststole decreasing afgterload and cardiac it is |
IABP Intra aortic ballon pump |
0 |
sue524 Sat, 04 Feb 2012 17:43:00 GMT |
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Intra Aortic Bloon Pump is machanical circulatory support device that may be used after cardiac surgery to treat ?
the IABP temporaily supports cardia function allowing heart to recover by decreasing myocardial ___ and __ demand and increasing perfusion of __ __ |
Cardiogenic shock
decreasing workload and O2
increasing perfusion of coronary arteries |
0 |
sue524 Sat, 04 Feb 2012 17:36:19 GMT |
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treatments after Mi
care in ICU for __ - ___hr
bed rest fir first
O2 admin rate of
diet is
not allowed or limited foods and drinks are |
24 - 48 hr
12 hr
2 5 l
low fat, low cholesterol and reduced sodium **sodium restrictin lifted after 2 - 3 day if no chf
caffeine, very hot or cold foods limited |
0 |
sue524 Sat, 04 Feb 2012 17:36:19 GMT |
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revascularization procedures
1 2 3 |
antigioplasty stent placement cabg |
0 |
sue524 Sat, 04 Feb 2012 17:36:19 GMT |
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treatment of antidysrhythmics are
1 2 3 4 5 6 7 8 9 10 |
sodium channel blockers, beta blockers, calcium channel blockers, potassium channel blockers, anticoagulants, ace inhibitors, antilipemic agents, stool softners and ABX |
0 |
sue524 Sat, 04 Feb 2012 17:36:19 GMT |
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| Post infusion care of Fibrinolytic therapy 1 2 3 4 5 6 7 8 9 |
vs ecg and labs, bed rest 6 hrs, head of bed below 15 degreees, avoid injection for 24 hours, assess puncture site for bleeding, I & O admin anticoagulants, report any ecg changes |
0 |
sue524 Sat, 04 Feb 2012 16:53:59 GMT |
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| during infusion of fibrinolytic therapy ass vs signs and signs of bleeding when |
q 15 min first hour then q 30 min next 2 hours |
0 |
sue524 Sat, 04 Feb 2012 16:53:59 GMT |
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while using fibrinoltyic therapy pt should be positioned?
2 extremity immobilization helps prevent
3 what type of drugs should be on hand
4. what type of dysrhythmias commonly occure with reperfusion of the ischemic myocardiou |
1extremely still and straigth do not elevate bed above 15 degrees try to keep head of the bed flat , infusion
2 site trauma and bleeding.
3 antidysrhythmic drugs
4. ventricular dyshythmias |
0 |
sue524 Sat, 04 Feb 2012 16:53:59 GMT |
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| who is not a canidate for fibrinolytic therapy |
pt with known bleeding problems, history of cerebrovascular disease, uncontrolled hypertensino, pregnancy or recent trauma or surgery of head or spin |
0 |
sue524 Sat, 04 Feb 2012 16:53:59 GMT |
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drugs used in Fibrinolytic therapy are
1. least expensive
2. _____ ____ is related drug that is admin by bolus over 2 to 5 min
3. more expensive but more effect in restablishing myocardial perfusing especially when the pain deveklops is
fribrinolytic admin with in first 6 hr |
1 Streptokinase
2. Anisoylated Plasminogen Streptokinase Activator Complex APSAC
3. Tissue plaminogen activator T-PA, Tenecteplase TNK and reteplase rOA
limits infarct size, reduces heart damage and improves outcoume |
0 |
sue524 Sat, 04 Feb 2012 16:43:30 GMT |
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| used in Mi to disolve or brak up blood clots is ? |
Fibrinolytic therapy |
0 |
sue524 Sat, 04 Feb 2012 16:43:30 GMT |
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| risk of nitor are |
reflex tachycardia or hypotension |
0 |
sue524 Sat, 04 Feb 2012 16:43:30 GMT |
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Morphine sulfate is given ___ -__ IVPush and small does of __ -__ mg every 5 minutes
drug used for antianxiety is |
iv push is 4 - 8 mg
small dose is 2 - 4 mg every five minutes
valium (diazepam) |
0 |
sue524 Sat, 04 Feb 2012 16:43:30 GMT |
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other then Nitro for pain what is used and is drug of choice for pain
first does is ___ - ___ mg and repeated iv every __ minutes until pain is relieved. assess pain to make sure not over sedation |
Morphine sulfate
2 4 mg q 5 min. |
0 |
sue524 Sat, 04 Feb 2012 16:07:53 GMT |
|
nitorglycern can be given how and dose
In addition to pain relief nitro ___ mycardial OXYGEN demand at the same time __ supply O2
Nitro is a peripheral and arterial vasodilator and reduces
It dilates the coronary arteries and collateral channels in the heart and ___ blood flow
Important to ask patient about Viagra aka ___ use 24 hours prior because the combination of the two ____ blood pressure |
ever 5 min up to 3 doses and does is 0.4 mg or iv for first 24 to 48 hours
Decreased demand while Increase supply
reduces Afterload
Increases blood flow
other name for viagra is Sildenafil
drops blood presure significantly |
0 |
sue524 Sat, 04 Feb 2012 16:07:53 GMT |
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| Most important medication for MI is to first address ? |
Pain |
0 |
sue524 Sat, 04 Feb 2012 16:07:53 GMT |
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this will evaluate cardiac wall motion, left vent. function what type of test?
Stunned and infarcted tissue does not __ as healthy tissue would |
Echo
contract |
0 |
sue524 Sat, 04 Feb 2012 16:07:53 GMT |
|
ecg int tyupical MI the T waves are
__ the ST segments ___ and the formation of Q waves
Ischemic changes are |
t waves inversion
st segemnt elevation
formation of q wave
St depression
and T wave inversion |
0 |
sue524 Sat, 04 Feb 2012 15:51:45 GMT |
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| ABG are ordered to assess |
oxygen levels and acid base balance |
0 |
sue524 Sat, 04 Feb 2012 15:51:45 GMT |
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In MI WBC will ___ due to ___
ESR with ___ due to |
elevate reaction of necrosis
rise due to inflamation |
0 |
sue524 Sat, 04 Feb 2012 15:51:45 GMT |
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| one of the first cardiac markers to be detectable in blood aft MI. It is released with in a few hours of symptoms onset. Its lack of specificity to cardiac muscle and rapid excreation blood levels return to normal with in 24 hours limits it use. |
myoglobin |
0 |
sue524 Sat, 04 Feb 2012 15:51:45 GMT |
|
Cardiac specific Troponin T amt is < and duration is ?
Troponin I is < and duration is
both markers apear in _ - _ |
<.02mcg/l 10 -14 days
<3.1mcg/L 7 days
2 - 4 hours |
0 |
sue524 Sat, 04 Feb 2012 15:44:58 GMT |
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| a protein released during cardiac muscle infarction. sensitive indicators for mYOCARDIAL DAMAGE, NORMALLY NOT DETETABLE PART OF MUSCLE CELL APPREAS IN 2 -4 HOURS DURATION OF CtNL IS 7 DAYS CtNt 10 - 14 DAYS |
TROPONIN |
0 |
sue524 Sat, 04 Feb 2012 15:44:58 GMT |
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| CK_MB for positive mi the levels must be higher than ___% appears in _-_hr for the duration of _ hours |
5% 4-8 hrs 72hrs |
0 |
sue524 Sat, 04 Feb 2012 15:44:58 GMT |
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| is and Isoenzyme most sensitive indicator for AMI specific to cardiac muscle elevated levels alone are NOT indicateros of MI. Elevated levels of __-__ grater than 5% is positive of mi appears in 4 - 8 hrs. after damage duration is 72 hours Normals levels are 0 to 3% |
CK -MB |
0 |
sue524 Sat, 04 Feb 2012 15:44:58 GMT |
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| ck creatine kanase after mi the serum levels __, shows in serum _ to _ house after damage peaks at _ -__ hours and delcines over ___ hours |
rise 4 - 6 12 -24 48 |
0 |
sue524 Sat, 04 Feb 2012 15:35:34 GMT |
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| enzyme, skeletal, brain, and heart muscll, levels Rise with damage, in the serum 4 -6 hours after. Peaks at 12 -24 hours Mi decline over 48 hrs and correlates with size of infracted tissue. the grater the amt of infarcted tissue the higher the cerum |
Ck CREATIN kINASE |
0 |
sue524 Sat, 04 Feb 2012 15:35:34 GMT |
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| the most common dysrhythmia assoced with sudencardiac dealth is |
V fib |
0 |
sue524 Sat, 04 Feb 2012 15:35:34 GMT |
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| complications from MI are 1234567 |
dysrhythmhias
pvc
ventr. tachy,
vibrillation
av block
cardiogenic shock funcher decrease less than 40%
pericarditis |
0 |
sue524 Sat, 04 Feb 2012 15:35:34 GMT |
|
Acute MI is depletion of
the process is |
oxygen glycogen and ATP
anaerobic producting hydrogen ions and lactic acid |
0 |
sue524 Sat, 04 Feb 2012 15:22:09 GMT |
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| Unstable lesion of atheroscierotic plaque formation are 1 2 3 4 5 |
prone to ruputre
formation of trombus
unstable angina
acute coronary syndrome
sudden ceardiac death |
0 |
sue524 Sat, 04 Feb 2012 15:22:09 GMT |
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| stable lesion of atheroscierotic plaque formation are 1 2 3 4 5 |
gradually occluding
can take years
no sysptoms to alert
usually lipid based
stable angina |
0 |
sue524 Sat, 04 Feb 2012 15:22:09 GMT |
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| Atheroscierotic plaqu formation is usually in two ways they are |
STABLE LESION AND UNTABLE LESION |
0 |
sue524 Sat, 04 Feb 2012 15:22:09 GMT |
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| this test shows normal sinus rhythm tychycardia bradycharida artirl fibrilation ventricular fibrilatuion aystole and heart blocks |
Electrocardiogram |
0 |
sue524 Sat, 04 Feb 2012 15:15:45 GMT |
|
the difference between endi diastolic volume and end systolic volume
60 -100 ml /beat
average 70 ml /beat |
stroke volume |
0 |
sue524 Sat, 04 Feb 2012 15:15:45 GMT |
|
the tension produced by the chamber of the heart in order to contact
the pressure that the chamber of the heart has to gerate in order to eject blood out of the chamber |
AFTERLOAD |
0 |
sue524 Sat, 04 Feb 2012 15:15:45 GMT |
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| the pressure stretching the ventricle of the heart intial stretching prior contraction micle fiber tentsion cannot be be mesured in VIVO |
Preload |
0 |
sue524 Sat, 04 Feb 2012 15:15:45 GMT |
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| Healthy pt ejection fraction is |
50% -65 % |
0 |
sue524 Sat, 04 Feb 2012 15:11:08 GMT |
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| the franction of blood pumped out of a Ventricle with each heart beat |
Ejection fraction |
0 |
sue524 Sat, 04 Feb 2012 15:11:08 GMT |
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| Amoutn of blood pumped byventricles into the pulmonary and systemic circulation in 1 minute |
Cardiac output |
0 |
sue524 Sat, 04 Feb 2012 15:11:08 GMT |
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| these drugs do not fit into class but reduse sa not automaticity and slow ave condution |
Adenosin and digoxin |
0 |
sue524 Sat, 04 Feb 2012 15:11:08 GMT |
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| Class IV drugs effet in a similar to beta blockers decrease sa not and ave conduction |
Calcium channel blockers |
0 |
sue524 Sat, 04 Feb 2012 15:02:06 GMT |
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| Class III agents delay repolarization and prolong the realitive refractory period by blocking potassium channels |
potassium channel blockers
sotalol
Amiodarone
dofetilide
bretylium
ibutilide |
0 |
sue524 Sat, 04 Feb 2012 15:02:06 GMT |
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| Class II drugs decrease SA node automaticaity. AV conduction velocity and myocardial contractility |
BETA Blockers
Esmolol Propranolol
Metoprolol |
0 |
sue524 Sat, 04 Feb 2012 15:02:06 GMT |
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| these types of drugs slow impulses conduction in the atria and ventricles are class I and by blocking? |
Sodium Channel blockers
Quinidine (carioquin, Quinidex, QWuinaglute
pROCAINAMIDE (pronstyl, Procan SR
Diopyramide (norpace Norpace Cr
Morizine (ethmozine) |
0 |
sue524 Sat, 04 Feb 2012 15:02:06 GMT |
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| Mostly all antidysrhythmic drugs also have ____ effects and can worsen condition |
prodysrhythmic worsen arthrymias |
0 |
sue524 Sat, 04 Feb 2012 14:55:07 GMT |
|
Class IV drugs are
these drugs decrease automaticity and ave nodal conduction. used to manage supraventricular tychycardia they also reduce myocardial contractility 1 2 |
Calcium Channel Blockers
Verapamil (calan, Isoptin, Verelan
Ditiazem (cardizem, DilacorXR) |
0 |
sue524 Sat, 04 Feb 2012 14:55:07 GMT |
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| what potassium channel blocker can also trat supraventricular tychycardia |
amiodarone |
0 |
sue524 Sat, 04 Feb 2012 14:55:07 GMT |
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Class III Drugs: are considered
Drugs block potassium channel prolonging repolarization and refractory period. used primarily to treat ventricular tachycardia and ventricular fibrillation. |
Potassium Channel blockers
Sotalol (betapace)
Amidarone (coradarone)
Dofetilide (tikosyn)
Bretylium (bretylol)
Ibutilide (covert) |
0 |
sue524 Sat, 04 Feb 2012 14:55:07 GMT |
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Class II druges are ?
They decrease automatcity and conduction through the AV node. Also reduce HR and myocardial contractility. Used to treat superventricular tytachycardia and slow ventricular response rate to atrial fibrillation. Drugs mya casue bronchospasm and conraindicated for clients with asthma, copd or lung disease 1 2 3 |
Beta Blockers
1. Esmolol (Brevibloc)
2. Propranolol (inderal)
3 Metoprolol (toprol) |
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sue524 Sat, 04 Feb 2012 14:47:08 GMT |
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Class 1 Class IC drugs slow impulses conduction velocity but have little effect on refractioniness. They are used to reduce or elimainate tychydyrhythmias assoiced with reentry. their significant prodysrhythmic effects limit their usefulness, but they may be used to reate superentricular tychardia
Class I drugs are considered |
Flecainide (tambocor) Propafenone (Rythmol)
sodium channel blockers |
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sue524 Sat, 04 Feb 2012 14:47:08 GMT |
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Class I Drugs for cardiac drugs decrease the refractory period but have little effect on automaticity drugs in this class are sued primarily to treat ventricula dyshrythmias including PVC and ventricular Tachycardia 1 2 3 4
Class I drugs are considered |
Liocain (xylocaine) Tocainide (tonocard) Mexilentine (mexitil) Phenytoin (Dilantin)
sodium channel blockers |
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sue524 Sat, 04 Feb 2012 14:47:08 GMT |
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| Class I A drugs decreases the flow of sodium into the cell and prolng the action potential. Decreases automaticity slows the rate of impulse conductiona nd prolongs refractoriness. ther use to treat bothe supraventricula and ventricular tachycardias 1 2 3 4 Class I drugs are considered |
1. Quinidine ( cardioquin, quinidex, quinaglute)
2. Procainamide (pronestyl, procan Sr)
3. Disopyramide (Norpace, Norpace Cr
4. Moricizine (ethmozine)
sodium channel blockers |
1 |
sue524 Sat, 04 Feb 2012 18:17:29 GMT |
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