▪ change in condition make take priority over Priority questions...something to consider
ABCs (ex: post op bleeding is priority over
an O2 Sat% of 90%)
▪ pick the patient that is going to die first
You walk into your patient's room and they don't
have a pulse, what are you going to do?
CPR, press the code button
1/8
, 8/8/24, 2:23 AM
You walk into your patient's room and they are not
breathing but have a pulse, what are you going to
bag resuscitation, press the code button
do?
If you walk into a room with a patient that is in
ventricular fibrillation (v fib)
▪ unconscious, pulseless
▪ shock them with the AED!
▪ How will they present?
▪ What must we do to get them out of that state?
If you walk into a room and a patient is alert and
oriented, speaking to you, has a pulse, but their
▪ make them bear down (valsalva maneuver) cardiac monitor shows they are in ventricular
▪ make them cough (vagal maneuver) tachycardia
▪ What are you going to do?
Which cardiac rhythm requires the patient to take
adenosine?
Supraventricular Tachycardia (SVT)
What is our priority concern for a patient in atrial
▪ they may end up with a blood clot because fibrillation (a-fib)?
the blood is pooling in the atria
control RVR for patient: Nursing Interventions: A-fib RVR
▪ give anticoagulants
▪ beta blockers, digoxin, diltiazem
▪ if meds don't work...cardioversion
(synchronized shock to re-start the rhythm)
▪ if cardioversion doesn't work...ablation
▪ chest pain If you have a patient who comes into the ED and they are having an MI, what are the
▪ SOB signs/symptoms? lab values to confirm this?
▪ diaphoresis
▪ N/V
▪ hypertension
▪ tachycardia
▪ jaw pain, anxiety, indigestion (women)
▪ elevated troponin levels
▪ EKG changes - ST elevation
Oxygen - 1st Treatment: Myocardial Infarction
Nitro - given sublingual, 3 doses q 5 min
(home), drip (hospital), drops BP (vasodilator)
Aspirin - antiplatelet, stops clotting, 325 mg,
chew it
Morphine - calms the patient down, helps
pain
▪ CPK Name the cardiac enzymes
▪ troponin
▪ CK-MB
▪ BNP
2/8
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 Denyss. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $9.99. You're not tied to anything after your purchase.
