Exam (elaborations)
MDC3 Exam 3 student review
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MDC3 Exam 3 student review MDC3 Exam 3 student review MDC3 Exam 3 student review
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MDC3 Exam 3 student reviewWhat is Atrial fibrillation? Irregular, rapid heart beat
Do clients with atrial fibrillation have symptoms? Not always
May be asymptomatic
What are the s/s of Afib? Dyspnea
Fatigue
Palpitations
Lightheadedness
Weakness
Chest pain
Hypotension (hemodynamic shock)
What does Afib lead to? Clot formation --> embolus --> death
What is Supraventricular tachycardia (SVT)? abnormally fast heart rhythm due to inappropriate electrical
activity in the upper portion of the heart, the AV node
How fast do ventricles contract with SVTs? >100 BPM
How do we treat Supraventricular tachycardia? CCBs
Beta blockers
Anticoagulants
Catheter ablation
,Valsalva maneuver
How is Heart failure diagnosed? echocardiogram
What is Right sided heart failure? failure of the right ventricle to pump efficiently causing blood to be
backed up
What are the S/s of R. sided HF? Paroxysmal nocturnal dyspnea
Restlessness
Confusion
Orthopnea
Tachycardia
Exertional dyspnea
Fatigue
Cyanosis
Cough
Crackles
Wheezes
Blood tinged sputum
Tachypnea
What is the Mnemonic for R. sided HF? Swelling
Weight gain
Edema
Large neck veins
Lethargy/fatigue
, Irregular HR
Nocturia
Girth
What should we think with R. sided HF? Rest of body
Venous system
What is Left sided heart failure? The most common failure. Backup of blood into the left atrium and
pulmonary veins.
What are the S/s of L. sided HF? Fatigue
Increase Peripheral venous pressure
Enlarged spleen/liver
Ascites
Distended jugular veins
Anorexia
Gi discomfort
Weight gain
Dependent edema
What is the Mnemonic for L. sided HF? Dyspnea
Rales
Orthopnea
Weakness
Nocturnal Paroxysmal dyspnea
Increased HR
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