Complex Adult Health

(Use MedSurg book and can use Critical Care book by Sole) Cardiac Exam 1: 70 questions o How to study  Go to cardiac workshop  Read textbook- according to calender  Test questions are not on test bank: read textbook and use YT video + powerpoints o Know what is number one to do as a nurse for each dysrhythmia  Be able to see the strip, read the scenario (BP down, HR, down, etc) and know that that’s that dysrhythmia and answer choices will have the intervention - so you can’t answer the intervention if you don’t know the condition o INR warfarin - give vit K o Digoxin adverse effects - yellow vision o Nitroglycerin, patient has headache - normal adverse effect o Troponin I - main indicator for damage to heart (should be <0.1) o Femoral cath, notice hematoma - apply pressure (20 min) o Artifact, patient has fever and EKG shows - shivering (picture) [look at yt video] o One med calc - know mg to mL – easy  My answer was 4 mL o Left antecubital cath - check left radial pulse o Hypokalemia - causes what changes in the EKG segments?  Flat or inverted T wave  ST depression  Presence of U wave  Increased amplitude and width of P wave o Hospital has team set in place for complications - rapid response team  Know that they go to every unit but the ICUs  There is a SATA about scenerios and you have to determine what unit they will go to  I put all of the ones that were not ICUs o Sinus bradycardia - give atropine (anticholinergic) o Asystole and you did CPR, give epinephrine o KNOW order (helps with answering many questions)  Unresponsive: asses circulation, airway, breathing (CAB)  Responsive: monitor airway, breathing, circulation (ABC) o Do you check vitals first, do EKG, labs? (know priority of what to do when) o STEMI - ST elevation o VT: what to assess first? Neuro check - LOC o While doing CPR and before defib, check carotid pulse  There was also another question about what to check when doing CPR on a patient – I did apical pulse because carotid was not an option o What meds to give for SVT  Adenosine!! o What rhythms are related to potassium  A fib  V tach  PVCs  V fib  Torsades o When to give atropine, amiodarone  Atropine