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A patient has had a large anterior myocardial infarction last month and developed a ventricular aneurysm. He now has episodes of ventricular tachycardia that are not prevented or converted with antidysrhythmic agents. An implantable cardioverter-defibrillator (ICD) is implanted. Four days after surg...

The nurse is caring for a patient with acute inferior wall MI, post-coronary artery stent deployment, For optimal care of the patient, the nurse should: Continuously monitor the patient in lead II It is best practice to monitor the patient status post PCI with stent, in the lead that was most ab...

What is vasogenic cerebral edema? Vasogenic cerebral edema is an increase in extracellular fluid caused by a breakdown of the blood-brain barrier with the resultant increase in vascular permeability. This cerebral edema begins locally and becomes more generalized. Common causes are trauma (includin...

A patient is in cardiac and respiratory arrest. The selection of medications to reestablish cardiac function would stimulate the sympathetic nervous system beta1 receptors. This stimulation would result in increased automaticity and which of the following? a. Increased myocardial contractility b....

A 62-year-old man is admitted with chest pain. His electrocardiogram reveals ST segment elevation and T wave inversion in leads V1 to V4. Aspirin has been given, and morphine titration and nitroglycerin infusion are used to relieve his chest pain. The patient suddenly develops a loud holosystolic mu...

The nurse is caring for a patient with acute inferior wall MI, post-coronary artery stent deployment. For optimal care of the patient, the nurse should: a) administer an analgesic for acute back pain b) Apply pressure dressing to groin c) Continuously monitor the patient in lead II d) Maintain t...

1. In caring for a patient with salicylate intoxication, the critical care nurse would anticipate which of the following as a primary treatment measure? A. Administration of protamine sulfate B. Administration of glucose C. Transfusion of packed RBCs D. Replacement of fluid and electrolytes D...

Which laboratory values would differentiate diabetic ketoacidosis (DKA) from a hyperosmolar hyperglycemic state (HHS)? a. Serum glucose of 600 mg/dL b. Serum potassium of 4 mEq/L c. Positive serum ketones d. Serum osmolality of 320 mOsm/L Correct answer: c Rationale: In DKA there is an absolut...

S3 occurs where and when? heard best at the apex of the heart right after S2 what is S3 associated with? Heart failure, Pulmonary hypertension, cor pulmonale, and mitral/aortic/tricuspid insufficiency what is S3? rapid rush of blood into a dilated ventricle what is S4? atria...

S3 heard sound fluid overload s4 heart sound artium contract into noncompliant ventricle LV failure. A split heart sound is heard best during ___ inspiration Mitral Insufficiency is a ___ murmur located at the ____ ICS systolic 5th A patient with mitral insufficienc...

Cardiac output equation CO = HR x SV Components of stroke volume Preload Afterload Contractility Preload components CVP (right ventricular) - central venous pressure PAOP (left ventricular) - pulmonary artery occlusive pressure Afterload components PVR (right ventricular)...