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FCCN LEVEL I EXAM STUDY GUIDE
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FCCN LEVEL I EXAM STUDY GUIDE
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FCCN LEVEL I EXAM STUDY GUIDETachycardia - Answers- Decrease coronary artery perfusion by decreasing filling time.
Bradycardia - Answers- Decreasing the frequency of coronary filling.
S1 - Answers- Closure of mitral and tricuspid valve. Ventricular systole.
S2 - Answers- Closure of aortic and pulmonic valve. Ventricular diastole.
S3 - Answers- Heard between S1 and S2.
Systole - Answers- Pressure in arterial during ejection of blood in the circulation.
Diastole - Answers- Pressure remain in arterial, measuring the relaxation of the
ventricle.
Heart failure - Answers- Impaired cardiac functioning and or excessive workload
demand. Forward movement is restricted. Increase preload-give diuretics, diurese.
Increase afterload- give ACE, ARBs to dilate artery, Calcium chan blockers-improve
contractility.
Ss:sob, edema, cool skin, n/v, fatigue, PND, anorexia. Might result to hypertrophy.
Left heart failure - Answers- Dyspnea, orthopnea, arrythmia, fluid in the lungs, crackles,
wheezing.
Right heart failure - Answers- Pheripheral edema, ascites, weight gain, cirrhosis.
Edema - Answers- not part of intravascular volume
Systolic dysfunction - Answers- Ventricle not properly ejecting blood into circulation
during ventricular contraction.
Diastolic dysfunction - Answers- Ventricle not relaxing/ not filling properly
Hypovolemia - Answers- Decrease blood volume. Deficient venous return result from
hemorrhage, burns, diarrhea, polyuria (DI).
sS: cool, clamped, low bp, tachy. Decrease preload, -tx: colloids, blood. increase
afterload. Tx: inotropic, ex dopamine, vasodilator, tx shock etiology.
Cardiogenic shock - Answers- Heart suddenly cannot pump blood, caused by severe
heart attack. SS: SOB, tachycardia, cool, pale, clamped, low bp, pulmonary edema.
High afterload, low preload, tx: reperfuse- IV, blood, aspirin, oxygen, nitro, morphine,
surgery. Call physician to get pt in Cath lab.
MI - Answers- Oxygen, nitro, morphine, aspirin
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