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Critical Care Cardiac I

Kate Fetter MSN, RN, EMT-P
Across
Lead two shows elevation between the R and T?
Unorganized activity may be fine or coarse and requires defibrillation.
What lab are we monitoring when a client is having acute coronary syndrome. Might be elevated for two weeks after.
Asystole, leads on and patient unresponsive and pulseless PRIORITY? ___ ____
Client in trendelenberg for central line placement and SPO2 drops from 98% to 89%? 1 or 2 Complication?
When you receive a sick client having chest pain what is you first priority? (Think ER) ___ __ ______
If the fluid collection in the sac (pericardial effusion) impinges on ventricular ______, ventricular ejection, or coronary artery perfusion, a clinical emergency may exist that necessitates removal of the excess pericardial fluid to restore normal cardiac function.
You patient is having chest pain, you called for help what do you do next?
The client is cool, clammy, diaphoretic, hypotensive, bradycardic and you have an idioventricular rhythm notes. What do you need to do? ______ _____ ___
Bad cholesterol
Good cholesterol
How do we treat asystole? _ _ _
We drew straight line as children drawing houses. A straight line now on an EKG means>
Reducing risk factors for future AMI's includes, stop smoking, lower sugar levels, get physically fit, and manage ______ levels.
Down
CPR Cycle I man _ to 2
Ensuring accuracy of waveform calibration of the system includes opening the transducer to ___ and leveling the air–fluid interface of the transducer to the phlebostatic axis.
Use that biphasic defibrillator 120-200 _______.
If a patient is on 2L and needs more what do you do? ____ ____.
Might look similar to v-fib however is not and may or may not have a pulse.
Although we are not dieticians we can help teach people to take their favorite ______ and teach them to modify them.
The client with chest pain had an EKG, Vitals, and labs drawn. What is your priority assessment now? Assess _____ and ___ sounds
The patient is in this position for central line insertion to prevent air embolisms and pneumothorax
TPA will be therapeutic when there is improvement in cardiac output, skin color and temp, resolution of chest pain, and decrease in __ _____ elevation
Your client with chest pain just had an EKG, Do you do vital signs or lab draw?
The monitor alarms asystole, what is your priority? ______ _____.
Client is in acute heart failure, what drug class will reduce preload and afterload?
Complications from tPA include, internal and external bleeding, and a potential for a re-perfusion _______
What do you call a sinus rhythm with PVC's, one up and one down? Abbreviate _ _ with _ _ _
The client is in rural America and is 4 hours from a cath lab. The physician orders clopidogril, heparin, and _-__