Term
| 1 little box maybe .04 sec, but how many volts? |
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Definition
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Term
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Definition
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Definition
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Definition
| AV block; aymptomatic and do nothing |
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Term
| mitral valve regurgs #1 cause |
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Definition
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Term
| mitral valve regurg finding |
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Definition
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Term
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Definition
| loud diastolic sound on lf sternal border |
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Term
| when normal pacemaker slows or fails and another slower site assumes pacing |
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Definition
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Term
| Aortic valve regurg #1 sign |
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Definition
water hammer pulse austin flint murmur |
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Term
| cause of chronic pericarditis |
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Definition
fibrous scarring - causes loss of elasticity neoplastic disease (metastasis or radiation) TB surgery thick pericardium r/t calc deposits |
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Term
| patho of acute peric carditis |
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Definition
inc neutrophils fibrin deposits in inner layer of pericardium |
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Term
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Definition
tablets tamponade thrombosis (lungs) thrombosis (artery) tension pneumonthorax |
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Term
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Definition
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Term
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Definition
pulseless electrical activity (heart ECG activity, but no Pulse) GIVE CPR |
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Term
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Definition
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Term
| For RC we give aspirin, why? |
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Definition
| fever reduction and blood thinner |
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Term
| What disease needs monthly pcn inj or oral BID pcn |
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Definition
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Term
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Definition
antistrept ESR ECG - slows valve issues |
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Term
| In IE, a rt sided veggie emboli break would cause |
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Definition
| it to go to the lungs causing a PE |
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Term
| In IE a lf sided veggie break would make the emboli cause |
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Definition
brain kidney spleen DVT (limbs) |
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Term
| In acute IE, fever occurs in _____% of patients |
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Definition
90% S/S are nonspecific (weak, chills, anorexia, malaise) |
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Term
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Definition
recent dental, surgical, or urological, or gyno in last 6 months? Hx of HF UTIs? Resp infections? |
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Term
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Definition
| damage glomerulus and low protein |
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Term
| in IE S/S vascular manifestations (external) |
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Definition
JORPS Janeway lesions (palm spots) Osler nodes (painful red welts) Roth Spots (eyes) Petichiae Splinter hemorrhages in nails |
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Term
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Definition
| valvuloplasty (baloon to open valve) |
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Term
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Definition
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Term
| myocarditis (innerlayer) is the MOST rare and due to ________________ |
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Definition
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Term
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Definition
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Term
| If IE affects mainly cardiac valves, what does PC (pericarditis) affect? |
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Definition
| heart can't expand, vents can't fill |
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Term
| primary lesion consists of fibrin, leukocytes, and microdes |
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Definition
| vegetation of endocarditis |
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Term
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Definition
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Term
| Mitral valve prolaspe clinical manifestation |
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Definition
PSVT VT arrythmias pos chest pain ANIT-ANGINALS DO NOT FIX BECAUSE ISCHEMIA IS NOT R/T OBSTRUCTION |
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Term
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Definition
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Term
| When pacemaker shifts between SA and AV it is called |
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Definition
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Term
IF QRS is less than .12 it is superventricular. If it is over .12 it's ________ |
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Definition
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Term
| standard tx of antibiotics length of time for IE |
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Definition
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Term
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Definition
| look for fever and flu like symptoms |
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Term
| Ancef is a _____ drug used for IE |
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Definition
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Term
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Definition
exercise induced bloody urine weak cough night sweats chest back and ab pain |
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Term
| Key objective IE findings |
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Definition
inc WBC inc ESR heart enlarged tachycardia arrythmias |
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Term
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Definition
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Term
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Definition
leaflets buckle causing murmurs and clicks during systole r/t higher pressure |
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Term
| What is pericardial effusion |
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Definition
| build up of fluid in peri sac pressing against heart and lungs |
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Term
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Definition
build up of fluid in perisac; compress heart *S/S --> dec CO, dec BP, inc HR, JVD, distant heart sounds |
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Term
| pericarditis dx with ECG will show what initially |
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Definition
| an initial ST elevation in most leads |
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Term
| removal of fluid in pericardial sac |
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Definition
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Term
| nursing interventions - pericarditis |
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Definition
relieve pain (NSAIDS or Steroids) 45 degree angle or over table for comfort educaiton |
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Term
| If patient does not respond to Adenosine we do |
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Definition
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Term
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Definition
| pericardial sac removal at expense of loss of protective element to heart |
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Term
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Definition
| continuous drainage of fluid into pleural space |
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Term
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Definition
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Term
| Wide QRS, no P, no T (or small) |
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Definition
idioventricular tx with CPR |
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Term
| Nitrate use is appropriate when |
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Definition
| valve prob with ischemic chest pain |
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Term
| end of P to beginning of QRS |
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Definition
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Term
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Definition
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Definition
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Term
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Definition
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Definition
1- valsalva (to slow) 2- beta blockers "LOL" drugs |
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Term
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Definition
| site speeds up and takes over as pacemaker |
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Term
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Definition
| size, edema, calcification of valves |
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Term
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Definition
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Term
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Definition
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Term
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Definition
| dec condiction of AV node - SLOWS |
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Term
| Rheumatic Carditis #1 S/S os _______ |
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Definition
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Term
| Time when cells cannot respond to stimulus |
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Definition
| absolute refractory period |
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Term
| ______ refractory period is when some cells can respond if intense |
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Definition
| relative refractory period |
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Term
| represented by jumpity every other Beat is PVC wave |
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Definition
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Term
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Definition
| discharged energy followed by mechanical contraction |
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Term
Clinical Manifestion Tricuspid Valve Disease (mimics Rt sided CHF) |
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Definition
peripheral edema ascites hepatomegaly murmur |
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Term
| What disease has hx of strep and 2 weeks later fever 101-104 |
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Definition
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Term
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Definition
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Term
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Definition
grating chest pain when deep breathing or lying flat SOB slight fever cough pericardial friction rub |
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Term
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Definition
under 48h and dysrhythmias or if over 48h, wait 3 weeks on heparin then schedule cardiovert |
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Term
| tx for A-fib and Asystole |
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Definition
external pacing and drugs (Epi and Atro) |
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Term
| tricuspid valve stenosis almost exclusively in patients with |
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Definition
| rheumatic mitral stenosis of IV drug users |
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Term
| pulmonic is ALWAYS congenital |
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Definition
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Term
| tricuspid valve disease seen mostly in |
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Definition
IV drug users Hear swish or murmurs and JVD |
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Term
| lidocaines are for arrythmias |
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Definition
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Term
| cardiac cells have 4 qualities |
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Definition
automaticity excit conduct contract |
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Term
| This ECG is commonly caused by digitalis toxicity |
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Definition
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Term
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Definition
new murmur CHF with aortic and mitral valve endocarditis spleen pain kidney pain gangreene in foot |
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Term
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Definition
| slows rate, inc contractions |
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Term
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Definition
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Term
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Definition
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Term
| rheumatic carditis can be prevented by |
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Definition
prevent strep finish antibiotic |
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Term
| rheumatic carditis starts off as |
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Definition
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Term
| rheumatic carditis affects |
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Definition
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Term
| sounds heard with valve disease |
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Definition
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Term
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Definition
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Term
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Definition
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Term
| Cardioversion prevents the R on T phenom and is used |
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Definition
for unstable ventricular or supreaventricular tachy ...delivers counter shock during QRS |
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Term
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Definition
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Term
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Definition
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Term
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Definition
if escape = atropine if tachy = beta, cardizem, |
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Term
| majority of mitral valve stenosis is caused by |
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Definition
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Term
| pericarditis labs indicate |
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Definition
inc BUN and WBC dec CO and urine |
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Term
| ventricular irritability drugs or tx |
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Definition
Lidocaine Cardioversion defib procaua bicarb |
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Term
| This drug speeds up SA signals |
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Definition
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Term
| causes crackles, wheezes, and exertional dyspnea |
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Definition
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Term
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Definition
5 wires, 50 joules, and Clear the essentially electronic adenosine |
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Term
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Definition
3 times per day 6mg / __ mg / 12mg (each inj is followed by a sinus pause |
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Term
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Definition
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Term
| if you have R fever without RC what is the tx |
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Definition
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Term
| cardiac tamponade is bad case of |
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Definition
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Term
| causes of acute pericarditis |
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Definition
infections drugs past MI renal disease surgery cancers |
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Term
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Definition
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Term
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Definition
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Term
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Definition
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Term
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Definition
Stable --> dig, adenosine Unstable --> carioversion |
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Term
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Definition
pacing atropine epinephrine dopamine |
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Term
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Definition
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Term
| S/S of Mitral valve stenosis |
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Definition
palpitations from Afib Hoarseness (heart pushes on voice box) low pitched murmurs |
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Term
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Definition
athralgias myalgia back pain clubbing of fingers |
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Term
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Definition
polyarthritis sdenham's chorea erythema marginatum nodules CHF like symptoms |
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Term
| complete disarray of atrial and ventricular activity |
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Definition
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Term
| upside down QRS is a sign of |
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Definition
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Term
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Definition
hypovolemia hypoxia H+ ions Hypothermia Hypokalemia |
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Term
| patients taking cardizem and coumadin combo is a sign of |
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Definition
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Term
| represented by vertical axis |
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Definition
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Term
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Definition
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Term
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Definition
| hypokalemia or hypomagnesium |
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Term
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Definition
| ventricular repolarization |
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Term
| time of 1 small box on ECG |
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Definition
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Term
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Definition
automated internal cardio defib an automated defib inside body and detecs vfib or vtachy |
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Term
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Definition
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Term
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Definition
vagal manuever digoxin adenosine 6/12/12 cardiovert is unstable |
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Term
| Escape rhythm with WIDE QRS at 20-40bpm |
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Definition
idioventricular "Idiots escape" |
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Term
| complications from vegetation coming loose |
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Definition
stroke PE DVT MI Ischemia of kidney, spleen, limbs |
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Term
|
Definition
| dec hyperexcitability of cardiac cells |
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Term
| inner most layer of heart |
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Definition
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Term
| represented by horizontal axis |
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Definition
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Term
|
Definition
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Term
| lead #1 choice for measurement |
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Definition
|
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Term
| placement of paddle on heart |
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Definition
1 to rt of sternum 1 to apex of heart |
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Term
|
Definition
congenital degenerative Heart disease (old age) |
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Term
|
Definition
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|
Term
| Chronic pericarditis mimics |
|
Definition
| right sided heart failure |
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Term
|
Definition
palpitations dyspnea on exertion pink frothy sputum angina |
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