Created by sueostermeyer
over 10 years ago
|
||
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
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?
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
in cardiogenic shock cerebral 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
symptoms of this is 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 shoch is inadequate circulation of blood what is failing?
Cariogenic shock is casused by the heart losing it __ action
nursing car of catheter ablation is to hold cardiac meds
the catheter is inserted via __ or __
meds use are
Complication are __% and are
catheter ablation is a treatment for
in this high frequency electrical current delivers energy to areas of theart muscle that cause __ ___ ___
internal temporary pacemaker the wire is inserted into the ___ or ___
medication used by advancedlife support als for treatment of scd are 1 2 3
sudden cardiac death scd usual cause is
sudden cardiac death scd unepected death occurring within __ hour of the onset of cardiovascular symptoms
Nursing care of pt have pcr percutaneious coronary angioplasty
1 taste 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
nurisng diagnosis for pt having cabg
nursing care for pt with cabg
large needle inserted to dran fluid from pericadial sac
treatment for cardiac tamponade is
nursing diagnosis for cardiac tamponade
causes of cardiac tamponade
hall marks of cardiac tamponade is
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
non cardiac reasons pulmoonary edema are
cardiac reasons for pulmonary edema are
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
pt with pulmonary edema is positioned
immediate treatment for acute pulmonary edema focused on restoring
neurologic signs of pulmonary edema
cardiovasuclar signs of pulmonary edema
respiratory signs fo pulmonary edma are
Colloids solutions are 1 2 3 4
colloids solutions are used for 1 2
Crystalloid solutions
Isotonic is
1 2 3
Hypotonic solutions are
1 2
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
abnormal accumlation of fluid in intersitital tissue and alveoli of lungs is
device used as a bridge to heart transplant
pt with VAD are at considerable risk for
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
treatment of antidysrhythmics are
1 2 3 4 5 6 7 8 9 10
Post infusion care of Fibrinolytic therapy 1 2 3 4 5 6 7 8 9
during infusion of fibrinolytic therapy ass vs signs and signs of bleeding when
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
the use of fibrinolytic agents (e.g., prourokinase) to lyse thrombi in patients with acute peripheral arterial occlusion, deep venous thrombosis, pulmonary embolism, or acute myocardial infarction
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
who is NOT a canidate for fibrinolytic therapy
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
When is fribrinolytic admin with in
Why is it admin
used in Mi to disolve or break up blood clots is ?
risk of nitro are
Morphine sulfate is given initially ___ -__ IV Push and small does of __ -__ mg every 5 minutes
drug used for antianxiety is
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
In MI WBC will ___ due to ___
ESR with ___ due to
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.
Cardiac specific Troponin T amt is < and duration is ?
Troponin I is < and duration is
both markers apear in _ - _
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
CK_MB for positive mi the levels must be higher than ___% appears in _-_hr for the duration of _ hours
ck creatine kanase after mi the serum levels __, shows in serum _ to _ house after damage peaks at _ -__ hours and delcines over ___ hours
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
the most common dysrhythmia assoced with sudencardiac dealth is
Thyrooidectomy PreOp
Post Op thyroidectomy and what do you keep in room
Post op thyroidectomy
what can happen to calcium and why and what to use
What signs are the signs of hypOParathyrodism
chvastek for hypocalcium is
Trousseau sign is
Hypoparathyroidsm interventions are
diet for hypoparathyroidism
Ace inhibitors end in
The mnemonic for ace inhibitors is
mneumonic for ace inhibiter is SWERTES what does it stand for
Beta blockers mnemonic is
Beta blocker BBBB stands for and beta blockers end in
Calcium Channel blockers mnemonic is
Examples of Calcium Channel blocker drugs are
the mnemonic for Calcium channel blocker is BILL what does it stand for
Different kinds of diuretics are
Mnemonic for Diuretics is Diuretics and stands for
normal values of a pt
therapeutic value of inr
Antidote for coumadin
antidote for heparin Sodium
Theraputic range of heparin PTT
Clopidogrel (Plavix) also for blood prevents platelets from clumping what is the mnemonic
mneumonic for Plavix is BLEED what does it stand for
What is a HMG CoA inhibitor
mneumonic for HMG CoA inhibitor is
STATTIN in HMG mnemonic stands for
what do all HMG coA inhibitor end in and what do they do
Antihistamines end in
Antihistamines Mneumonic is
Antihistamines Mneumonic is ATECLES stands for
Antibiotic mneumonic is
Antibiotic mneumonic is MEDICATION AND STANDS FOR
Aminoglycosides is used for
example of drugs in the Aminoglycosides catorgory are
is gram negative or gram positive more resistant against antibiotics
Cephalosporins are four generations
1st generation often used in pt allergic to penicillin for and example would be
2nd generation treats and example is
3rd treats and is
4th
examples of gram negative are
mneumonic for allopurinol (zyloprim) is
mneumonic for allopurinol (zyloprim) is GOUT and stands for
Colchinicine mneumonic is
Colchicine ACUTE stands for
Phenytonin (Dilantin) mneumonic
Phenytonin (Dilantin) mnemonic GUMSUM stands for
What is Phenytoin Dilantin contraindicated for
What should your blood levels be when taking dilantin
mneumonic for Lithium and what are the levels
Lithium mneumonic is LITHI and stands for
if one of the drugs Ethambulol is prescribed what else should you take
side effect of streptomycen
another name for the drug zidovidine is
zidovidinie can cause anemia leading to ____
aspirin over dose symptoms are
what is treatment for aspirin overdose
Lasix inhibits reabsorption of ___ and ___
Cytomel (liothyronine sodium) is to treat a pt for
cytomel ( liothyronine sodium) for hypothyroid put person at risk for
What is Amphojel (aluminum hydroxide)?
Why is Amphojel used in burn pt.
For a duodenal ulcer what is prescribed and how to take it
acute attack of gout take
Cyclospine and prednisone for kidney transplant the skin can react how
What is Immune Serum Globulin