NRSG 3100 Exam #4 with complete solutions Ventricular pulse rate
40-30
AV pacer rate
60-405
01:12
01:21
What is makes up stroke volume
preload, afterload, and contractility
Normal stroke volume
60-70%
TTE vs TEE
transthoracic vs transesophageal echocardiogram. TEE...
, NRSG 3100 Exam #4
Signs of cardiotoxicty caused by Na channel blockers - Answer increased PR and QT
intervals and/or widening QRS
Class IA Na channel blockers - Answer Procainamide (Pronestryl)
Class IB Na channel blockers - Answer lidocaine (Xylocaine)
Class of Procainamide (Pronestyl) - Answer Broad spectrum anti-dysrthymias used for
both atrial and ventricular arrhythmias
MOA of procainamide (Pronestyl) - Answer blocks sodium channels in myocardial cells;
reducing automaticity and slowing velocity of the action potential across the
myocardium
When is procainamide given - Answer Considered a drug of last resort for cardiac life
support due to its toxicity; used when other drugs have failed to reverse severe
dysrhythmia
Most common, serious side effects of procainamide - Answer Confusion of psychosis
BBW for procainamide (Pronestyl) - Answer Chronic use may result in a lupus-like
syndrome (increased ANAs)
Blood dyscrasias (monitor CBC, discontinue at first sign of possible dyscrasias)
When to not give procainamide (Pronestyl) - Answer 2nd or 3rd degree AV block!!!
severe HF, peripheral neuropathy, myasthenia gravis, lupus!!!
use caution with bone marrow depression
NC for procainamide (Pronestyl) - Answer Supine position during IV administration due
to risk of severe hypotension
Terminate if QRS widens more than 50%
Narrow therapeutic index (serum levels 4-8 mcg/mL)
Patient education about procainamide (Pronestyl) - Answer Do not take any other
medications or supplements without physician approval
Report any excessive bruising or bleeding (blood dyscrasias)
MOA of lidocaine (Xylocaine) - Answer Lidocaine raises the ventricular stimulation
threshold during diastole
Which arrhythmias does lidocaine (Xylocaine) treat - Answer Ventricular
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller EvaTee. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $10.99. You're not tied to anything after your purchase.
