CVP - Exam 1 Questions & Answers 2023/2024
Name 3 purposes of the cardiovascular system. - ANSWER-O2 exchange
CO2 removal
Transport of nutrients
Thermoregulation
Immunity
The heart pumps blood to itself _____. - ANSWER-First
Treat or Not.
Patient is a relatively active (walked 1 mil...
CVP - Exam 1 Questions & Answers 2023/2024
Name 3 purposes of the cardiovascular system. - ANSWER-O2 exchange
CO2 removal
Transport of nutrients
Thermoregulation
Immunity
The heart pumps blood to itself _____. - ANSWER-First
Treat or Not.
Patient is a relatively active (walked 1 mile day before surgery) 72-year-old Caucasian female, day two post total hip arthroplasty. This morning she complains of tenderness in her calf region. Utilizing the Well's Clinical Decision Rule (CDR) she scores +2 (moderate probability of DVT) and is referred for vascular testing. Doppler ultrasound, and she is on Lovenox and has on thigh length compression stockings. That afternoon for physical therapy she is to be out of bed and ambulating with a walker. - ANSWER-Treat
Treat or Not.
Patient is a 62 year old African American obese male (BMI 31 kg/m2), day 1 post myocardial infarction. Patient has a history of hypertension and hypercholesterolemia (patient somewhat compliant with medications). Current medications in the hospital include Inderol, Ticlid, and Lipitor. At rest heart rate is normal sinus rhythm 86 bpm (2-3 PVC's per minute), blood pressure 146/92 mmHg, respiration rate 16 bpm, O2 saturation 90% on room air. Patient complains of mild chest discomfort radiating into left arm and ST level is depressed by 1 mm. You are to begin Phase 1 cardiac rehabilitation. - ANSWER-Do NOT treat.
ST segment depression indicates a heart attack (MI).
Treat or Not.
Patient is a 66 year old male, post Q wave MI. Patient delayed entry into the hospital following 24 hours of chest discomfort. Swan-Ganz catheter reveals pulmonary capillary wedge pressure of 18- 24 mmHg. Patient complains of dyspnea while reclined, 3 + pedal edema, bilateral swollen jugular veins, oxygen saturation of 88% on 2 l/min nasal cannula oxygen and crackles over the lower 50% of lungs bilaterally. Lab values reveal significant rise in CK-MB and troponin - ANSWER-Do NOT treat.
Treat or Not treat.
Patient is a 46-year-old obese male (BMI 38 kg/ m2), waist measurement 43", with type 2 diabetes. He is
being seen in the acute care hospital 2 day post right leg amputation. He has just given himself an insulin
injection and his blood glucose is currently 82 mg/dL. His resting heart rate is 114 bpm, he appears somewhat confused and anxious. - ANSWER-Do NOT treat until glucose is given
Treat or Not treat.
Patient is a 72 year old female one day post-THA with a known history of dysrhythmias. While performing her activity she goes into ventricular tachycardia (evidenced by EKG telemetry). - ANSWER-
Do NOT treat.
With V-tach we will stop
Treat or Not treat. Patient is day two post-CABG. Physiological measurements reveal resting heart rate of 94 bpm, blood pressure 114/64 mmHg, oxygen saturation 92% (on room air), respiratory rate of 16 bpm. With usual activity, the patient goes into sinus tachycardia rate of 110 bpm, blood pressure of 132/70 mm Hg, oxygen saturation 94% (on room air), respiratory rate of 20 bpm. - ANSWER-Treat - these are all normal responses to exercise
Pulmonary system is the _____ side of the heart. Systemic system is the _____. - ANSWER-right
left
Heart circulates via ________-induced contractions, cyclic _____ gradients and ____ way flow. - ANSWER-electrically
pressure
one way
________ means enlargement with an increase in pressure. - ANSWER-Distensibility
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