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Prophecy medical surgical-telemetry exam Grade A+ 2023-Medical-Surgical
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Prophecy medical surgical-telemetry exam Grade A+ 2023-Medical-Surgical RN A Prophecy Relias Exam 2023 latest
update&Prophecy health medical surgical RN A with complete
solution 2023
ICD - ANSWER: implantable cardioverter-defibrillator
pleural effusion - ANSWER: accumulation of fluid in the pleural cavity
What is an alcohol septum ablation? - ANSWER: A minimally invasive procedure where alcohol is
injected into the area of the heart that is too thick. The alcohol is a toxin and causes the muscle to
shrink and die. Remaining scar tissue is thinner than the heart muscle.
What does an alcohol septum ablation fix? - ANSWER: Hypertrophic cardiomyopathy
NARD stands for - ANSWER: No acute respiratory distress
What does a higher BNP level indicate? - ANSWER: That more of the Bnp proteins are having to be
released into the bloodstream indicating heart failure
What is BNP relation to the kidneys? - ANSWER: It's filtered through the kidney so high levels can
indicate that kidneys aren't functioning properly
Pericardial effusion - ANSWER: accumulation of fluid in the pericardial cavity
pericardial window - ANSWER: Removal of an accumulation of blood or fluid in the pericardium to
improve cardiac function
Heparin antidote - ANSWER: protamine sulfate
What is cardioplegia? - ANSWER: Cold solution over the heart that stops it for CABG procedure
AVR stands for ______. - ANSWER: Aortic valve replacement
Pulmonary embolus - ANSWER: Blockage of the pulmonary artery or one of its branches due to a
translocated clot
thrombectomy - ANSWER: surgical removal of a blood clot
TAVR abbreviation - ANSWER: Trans catheter aortic valve replacement
Don't give dil if an EF is below ___. Why? - ANSWER: 30%. Causes acute kidney injury
First degree AV block - ANSWER: prolonged PR interval
Second degree type 1 - ANSWER: if the PR interval elongates
Second degree type 2 - ANSWER: P wave: 2 or more for every QRS complex.
PR interval: constant
QRS duration: usually .08 to .12seconds, can be wider
ventricular rate: usually 60 to 100/min, can be slower
Atrial rate (if different than ventricular rate): usually 60 to 100/min
, Rhythm regularity: usually regular
Third Degree Heart Block (Complete Heart Block) - ANSWER: Totally irregular. The P's and the QRS just
don't match up. They are all over the place.
What medicine do you give for bradycardia? - ANSWER: Atropine
PCI - ANSWER: percutaneous coronary intervention
Treatment for hyponatremia - ANSWER: - restrict water intake and promote water loss
- correct underlying disorder
- replace Na defects
Tx for hyperkalemia - ANSWER: restricting potassium intake, loop diuretics, IV insulin +glucose(which
forces K into the cells), Kayexelate(which binds to K), calcium gluconate through IV(which reduces
membrane potential), or dialysis
TX for Hypokalemia includes - ANSWER: administering potassium. Oral potassium given in a cup of
juice to mask the taste, IV potassium may be administered
Treatment for hypernatremia - ANSWER: fluids
Metoprolol Succinate (short vs long) - ANSWER: Toprol XL
Metoprolol Tartrate (short vs long) - ANSWER: Short
Beta Blockers MOA - ANSWER: Block sympathetic influence on the heart (esp B1 selective), reducing
CO and thus BP; also block renin release, stopping RAAS system
RAAS system - ANSWER: Renin is produced by the kidneys in response to impaired blood flow & tissue
perfusion, and converts angiotensinogen in the blood to angiotensin I; ACE converts angiotensin I to
angiotensin II in the lungs. Angiotensin II then vasoconstricts and stimulates the release of
aldosterone. Aldosterone then promotes Na and water retention as well as K excretion.
Amiodarone MOA - ANSWER: Inhibits alpha and beta adrenergic receptors, producing vasodilation
and AV nodal suppression (this slows conduction through the AV node)
Inhibits the outward potassium current so it prolongs the QT duration
Inhibits sodium channels, which slows conduction in the ventricles and prolongs QRS duration
alpha-adrenergic receptors - ANSWER: Portions of the nervous system that, when stimulated, can
cause constriction of blood vessels.
CAUTI vs CLASBI - ANSWER: catheter acquired urinary tract infection
Centra line associated blood stream infection
Anhedonia - ANSWER: inability to experience pleasure
DCCV - ANSWER: direct current cardioversion
PTCA - ANSWER: percutaneous transluminal coronary angioplasty
balloon angioplasty - ANSWER: insertion of a balloon to dilate a vessel
Imdur (isosorbide mononitrate) - ANSWER: Antianginal
Brilinta (ticagrelor) - ANSWER: Antiplatelet
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