THINGS SHE STRESSED PT 2-From Steve's Study Guide-Lecture 2/27 Flashcards Preview

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Flashcards in THINGS SHE STRESSED PT 2-From Steve's Study Guide-Lecture 2/27 Deck (34)
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1
Q

3 manifestations of P waves in escape rhythms?

A

One lacks a P-Wave, one has inverted P-wave, and you have one where it appears after the QRS.

2
Q

Atrial Dysrhythmias common cause of ______

A

stroke

3
Q

Atrial Dysrhythmias-If in the right atria, and travels to lungs, they would get a______

A

pulmonary embolism

4
Q

Atrial Dysrhythmias-Most often, the concern is the ____atrial clot, it can move from LA into the arterial circulation and get to the brain where an ______ occurs

A

LEFT; EMBOLIC STROKE

5
Q

If a patient has Premature Atrial contraction it’s just he _____contraction that’s ectopic (does not come from SA node)

A

ATRIAL

6
Q

comes from Purkinje fibers, happens when SA and AV node fail to fire, the Purkinje will fire to get the ventricles to move. It’s about 15 to 40 BPM

A

Ventricular Escape rhythm

7
Q

A FIB and Flutter can BOTH cause ______ formation

A

thrombi

8
Q

Try to suppress A-Fib with ______ and ________

A

beta blockers; anti arrythmics

9
Q
There’s a
bizarre QRS
(it can have a negative deflection) it can
have a polymorphic-
one up, one down as at left
A

PVC’s

10
Q

a type of V-Tach/DEADLY

A

Torsades de Pointes

11
Q

P waves are not

associated with the QRS complexes.

A

V TACH

12
Q

no identifiable QRS complexes

A

V Fib

13
Q
characterized by
progressive prolongation of the PR interval until
one P wave is not conducted;
associated with AV
nodal ischemia
A

Second Degree Type 1 Atrioventricular Block

14
Q

Every QRS has a P wave but not every P wave has a QRS

A

Second Degree Type 2 Atrioventricular Block

15
Q

can remain in the chest for 18 months or longer which

can monitor for arrhythmias.

A

DS loop recorder for 3rd degree block

16
Q

PR interval will be greater than .2

A

First Degree Atrioventricular Block

17
Q

How to treat coronary heart disease?

A

Baby aspirin, no more than 81mg, and a statin
-a cholesterol lowering drugs. Statins given
to prevent heart attack, slow down inflammatory process in these plaques, slow down the coagulation.

18
Q

Characterized by stenotic atherosclerotic coronary vessels
.
Onset of anginal pain is generally
predictable and elicited by similar stimuli each time
.
Relieved by rest and nitroglycerin

A

Stable/typical angina

19
Q

May progress to acute infarction

A

Unstable/crescendo angina

20
Q

Onset of symptoms is unrelated to physical or emotional exertion, heart rate, or other
obvious causes of increased myocardial oxygen d
emand

A

Prinzmental/variant angina

21
Q

Characterized by vasospasms and abnormal calcium flux

A

Prinzmental/variant angina

22
Q

Acute coronary syndrome is an umbrella term for ____ and ______

A

unstable angina; MI

23
Q

Any of the coronary heart syndromes may produce sudden ______

A

cardiac death

24
Q

acute full occlusion of a coronary artery that leads to death of the myocardium tissue due to lack
of oxygen

A

STEMI

25
Q

For candidates getting acute reperfusion therapy, how does the cardiologist do it?

A

angioplasty and stent

26
Q

Patients preventing with symptoms of unstable angina with
no ST segment elevation, these patients have
______

A

NSTEMI

27
Q

S/S
Severe crushing, excruciating chest pa
in that may radiate to the arm shoulder, jaw, or back
accompanied by nausea, vomiting, diaphoresis (sweating), shortness of breath

A

ACS

28
Q

In women (and the elderly
and those with diabetic neuropathies)
Atypical symptoms, including fatigue

A

ACS

29
Q

ECG changes for ACS include _____ elevation, large ____- waves, inverted _____ waves, and deep Q waves which equal old _____

A

ST; Q; T; MI

30
Q

What’s the treatment for ACS?

A

Decrease myocardial oxygen demand; beta blockers; PCI (angioplasty with a stent); if not PCI then CABG

31
Q

You hear a low pitched, rumbling _____ murmur in mitral stenosis

A

diastolic

32
Q

enlargement and failure of the right ventricle which can happen in mitral stenosis

A

cor pulmonale

33
Q

Increased CK-MB and troponin I and T

A

ACS

34
Q

Acute occlusion: plaque disruption and thrombus formation and results in _______ OR ______

A

unstable angina or MI