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A series of questions and answers related to cardiac emergencies and critical care scenarios. It covers a range of topics including initial treatments for angina pectoris, management of tpa administration, ecg changes in acute myocardial infarction (ami), and therapeutic goals for cardiogenic shock. Additionally, it addresses nursing actions for depressed patients, interventions for specific ecg findings like atrial fibrillation/flutter and wide qrs complexes, and special care considerations for medications like dopamine and lidocaine. The document also includes questions on respiratory distress, increased intracranial pressure, diabetic emergencies, and renal function, providing a concise review of essential concepts for healthcare professionals. This material is useful for medical students, nursing students, and practicing healthcare professionals preparing for exams or seeking a quick review of critical care concepts. (447 characters)
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Initial measures for treatment of angina pector include - ✔✔Rest, oxygen, nitro After having TPA running for 3 hrs, what would cause you to stop it - ✔✔Change in mental status You would not see elevated cardiac iso-enzyme in - ✔✔Chronic heart failure Therapeutic goal for caridogenic shock - ✔✔Increase cardiac output With depressed patients, the nurse should - ✔✔Encourage the patient to vent about their concerns ECG change in AMI is - ✔✔ST elevation Elevated CVP? - ✔✔Rt. HF Mr. Adams is feeling " a little funny", EKG shows a fib/ aflutter. What do you give - ✔✔Cardizem Wide QRS? - ✔✔Bundle branch block Special care when giving IV dopamine - ✔✔Infilatration leads to tissue necrosis A strong ventricular stimulus is dangerous when it lands on the - ✔✔T wave Use for external cardiac pacemaker - ✔✔Symptomatic heart block Initial treatment for VT with pulse - ✔✔Amiaodrone 150mg over 10min
Signs of cardiac tamponad include - ✔✔Distended neck veins Pulsus paradox Hypotension A patient asystole, you would administer - ✔✔Epi Antidote for heparin - ✔✔Promaine sulfate Prevent clasbi infection - ✔✔Wash hands Before suctioning, vaccum pressure should be - ✔✔ 120 Post op pt with left chest tube has diminished lungs sound rt posterior..why? - ✔✔Atelecatsis Assessing placement in ET - ✔✔Bilateral breath sounds Reason for absent breath sounds after MVC - ✔✔Pneumothorax Pt 4 day post op with fracture of right femur, develops SOB, why? - ✔✔Fat embolism Pt with cervical spinal injury - ✔✔Immbolize head Cervical spine injury, monitor - ✔✔Respiration's Earliest sign of increase ICP - ✔✔Change in LOC Increased in intracranial pressure is - ✔✔Widen pulse pressure
Pt with TB and renal failure develops high fever, what abx do you give - ✔✔Rifampin In a patient who is not intubated and not termainally ill, administration of narcotic for pain should always