rrt: adult cardiovascular disease

what is chf caused by?

• myocardial infarction

• ischemic heart disease

• cardiomyopathy

what is the most common cause of pulmonary edema?

chf

peripheral/pedal edema is often caused by what?

• chf

• pulmonary edema

chf/pulmonary edema hemodynamics?

increased pcwp and pap

best pt position for chf?

fowler’s

treatment for premature ventricular contraction (pvc)?

• o2

• lidocaine

treatment for ventricular fibrillation?

defibrillation

treatment for pulseless ventricular tachycardia?

defibrillation

treatment for atrial flutter?

cardioversion

treatment for atrial fibrillation?

cardioversion

treatment for ventricular tachycardia with pulse?

cardioversion

pulmonary hypertension mean pap?

>25 mm hg

myocardial ischemia/infarction definition?

interruption of coronary blood flow for an extended period of time

electrolyte issues related to myocardial ischemia/infarction?

• hyperkalemia

• hypokalemia

myocardial infarction/ischemia ekg?

• inverted t waves

• elevated s-t segment

increased troponin level is related to what?

myocardial infarction

what does pulmonary embolism result in?

• deadspace condition

• ventilation without perfusion

history of pulmonary embolism?

sudden onset

pulmonary embolism capnography?

decreased peco2 with normal paco2

pulmonary embolism hemodynamics?

increased pap

what happens to vd/vt ratio of pt with pulmonary embolism?

increases

special tests for pt with pulmonary embolism?

• spiral ct

• v/q scan

• pulmonary angiogram

most sensitive test used for pulmonary embolism?

spiral ct

device used for prevention of pulmonary embolism?

pneumatic compression devices

peripheral vascular disease (pvd) definition?

condition causing complete obstruction of blood flow to/from arteries outside the chest

pvd etiology?

• diabetes

• hypertension

• smoking

secondary assessment for pvd?

• routine basic labs

• venography

• vascular ultrasound

what’s venography and what’s it for?

• x-ray with dye

• for dvt

cor pulmonale definition?

right ventricular hypertrophy

cor pulmonale past medical history?

chronic lung disease

cor pulmonale hemodynamics?

• increased cvp

• decreased qt

what’s basic metabolic rate option?

• for vent pts

• co2 production vs o2 consumption

what’s ppd skin test for?

tb

what’s d-dimer option and when to choose it?

• screening to rule out pulmonary embolism

• don’t choose if you already know pe is likely

normal potassium?

3.5-4.5

pci meaning?

percutaneous coronary intervention

what’s the babinski reflex test for?

cns stuff

what’s lactated ringers?

fluid