BKAT 9R Final Exam Study Guide

BKAT 9R Final Exam Study Guide

1. Beta Blockers: Initial measures for the treatment of angina pectoris do not include which response below? 2. ST segment elevation: The classical ECG change with muscle injury in acute myocardial infarction is: 3. CHF: Elevated cardiac iso-enzymes generally do not occur in which response below? 4. Increased CO: The major therapeutic goal in the treatment of cariogenic shock is to: 5. Reduces preload and after load and improves contractility: You receive or- ders to start nitroprusside and dobutamine in your patient with end-stage cardiomy- opathy. How will this tx regimen affect CO? 6. Encourage the patient to ventilate his/her concerns: In dealing with a de- pressed pt during the first days post AMI the most appropriate nursing action would be: 7. change in mental status: Mr Seamore is receiving thrombolytics (TPA) 3 hrs after an AMI. Which of the following would most likely require discontinuing the infusion? 8. Pulmonary artery occlusion (wedge): The following monitor pattern would in- dicate that the pulmonary artery (swan ganz) catheter is in which position? 9. Aortic stenosis: A systolic murmur that is auscultated at the 2nd intercostal space, right sternal border is called: 10. High to low: Which of the following wave patterns indicates proper functioning of an arterial line? 11. 8-10 minutes: After an arterial catheter is removed, direct pressure should be applied to the artery for how long? 12. Right atrium: A CVP reading directly reflects pressure in the: 13. Rt heart failure: An elevated CVP reading may indicate: 14. Lt ventricle: The pulmonary artery occlusive (wedge) pressure (PAOP) reflects pressure in the: 15. 11-20: The normal pulmonary artery pressure is: 16. 6-12: How many mmHg is the normal PAOP? 17. Lt ventricular failure: An elevated PAOP may indicate: 18. Diltiazem: Mr Adams, a 68 yo pt, c/o feeling "a little funny in his chest". His ECG shows Afib/flutter. Which of the following meds could be used to tx his cardiac rhythm? 19. BBB: A QRS complex wider that .12 sec most likely indicates: 20. Infiltration leads to tissue necrosis: Special care should be exercised when administering IV Dopamine because 21. T wave: A strong ventricular stimulus is potentially dangerous when it lands on the: 22. symptomatic complete heart block: indication for use of external cardiac pacemaker includes 23. Amiodorone 150mg IV over 10 min: Initial drug tx for sustained V tach when a pulse is present 24. Hazardous, as the ventricular rate may suddenly increase: The cardiac rhythm of A flutter is: 25. Establish Unresponsiveness: Upon recognizing V fib in an ICU, the next thing the nurse should do is: 26. Preparing for transcutaneous pacing: The tx in an emergency situation for complete heart block is: 27. Amiodarone, Cardizem, Cardioversion: Your pt has A flutter with a ventricular response of 150 bpm, therapy for this rhythm includes: 28. Bradycardia: Signs of cardiac tamponade do not include which response be- low? 29. 150: In the pt with V fib, the correct energy setting for the first defibrillation when using a biphasic defibrillator is how many joules? 30. Epinephrine: A pt becomes apnea and pulseless. The monitor shows systole. The drug that would most likely be used initially is: 31. Protamine sulfate: Antidote for Heparin 32. Thorough handwashing: Most important step in preventing central venous catheter related sepsis is: 33. 150: An excessive amount of chest tube drainage in the first few hrs following thoracic surgery is how many mL's/hr? 34. Normal values: A routine check of your patient's blood gas values show a pH of 7.40, pO2 of 98 mmHg, pCO2 of 38 mmHg, and HCO3 25 mEq. These results reflect: