A 67-year-old-man is in the operating room undergoing a hip replacement. The procedure is going along uneventfully, and there is no indication of acute blood loss. Suddenly, the patient develops supraventricular tachycardia. Intravenous injection is administered and within 15 s, the electrocardiogram shows normal sinus rhythm. What is the most likely drug responsible for this normalization of the electrocardiogram? Select one: O ignocaine O Quinidine Esmolol O Verapamil Adenosine
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- A patient has tachycardia and has amiodarone infusing at 15 mL/h. The amiodarone concentration is 300 mg in 500 mL. At what rate, in mg/min, is the amiodarone infusing? Round to the tenth if applicable. A patient with a dysrhythmia has procainamide ordered at 2 mg/min. The concentration is procainamide 4g in 100 mL of D5W. How Many mL/h should the IV pump be programmed for? Round to the tenth if applicable. The patient is ordered to receive 16 units/h of regular insulin. Available is 200 units of regular insulin in 250 mL of 0.9% NS. At what rate in mL/h should the infusion pump be set at? Round to the tenth if applicable . Lanoxin Pediatric elixir is available 0.05 mg/mL. The ordered amount by the doctor is 45 mcg per dose two times per day. What is the amount in mL that the nurse will give per dose via oral syringe? Round to the tenth if applicable.A 69-year-old woman presents with crushing substernal chest pain and nausea. Laboratory studies show elevated serum levels of cardiac proteins (CK-MB = 8.5 ng/mL; troponin-I = 3.2 ng/mL). A diagnosis of myocardial infarction is confirmed by ECG. Despite treatment, the patient becomes hypotensive and resuscitation attempts are unsuccessful. A cross section of the patient's right coronary artery at autopsy is shown in the image. Which of the following pathologic changes are evident in this autopsy specimen?A 69-year-old woman presents with crushing substernal chest pain and nausea. Laboratory studies show elevated serum levels of cardiac proteins (CK-MB = 8.5 ng/mL; troponin-I = 3.2 ng/mL). A diagnosis of myocardial infarction is confirmed by ECG. Despite treatment, the patient becomes hypotensive and resuscitation attempts are unsuccessful. A cross section of the patient's right coronary artery at autopsy is shown in the image. Which of the following pathologic changes are evident in this autopsy specimen? (A) Arteritis and atherosclerosis (B) Atherosclerosis and thrombosis (C) Microaneurysm and canalization (D) Thrombosis and calcification (E) Vasodilation and arteritis
- 1. Mr. Garcia had a myocardial infarction. Explain what happened to his heart muscle and vascular system. What is a STEMII? 2. Mr. Garcia's chest pain resolved after two sublingual NTF at 3-minute intervals and 2 mg of IV morphine. In the cardiac catheterization lab he was "found to have a totally occluded distal right coronary artery and a 70% occlusion in the left circumflex coronary artery. The left anterior descending artery was patent. Angioplasty of the distal right coronary artery resulted in a patent infarct- related artery with near normal flow. A stent was left in place to stabilize the patient and limit infarct size. Left ventricular ejection fraction was normal at 42%, and a posterobasilar scar was present with hypokinesis." a. Explain angioplasty and stent placement. Define occluded occlusion. b. What is the purpose of this medical procedure?https://www.youtube.com/watch?v=t0IngUYN2OA https://www.youtube.com/watch?v=pPxnIh_WTb8 1) Blood pressure is measured with a 2) What is the average normal blood pressure for adults? Label which number is the systolic pressure and which is the diastolic pressure. 3) Describe the exact location you should place the blood pressure cuff 4) Identify three positions of the patient to obtain a BP. 5) How is the blood pressure recorded? 6) Describe the three major factors that may affect blood pressure. 7) What problems can result from high blood pressure Or (HYPERTENSION)? 8) What problems can result from low blood pressure OR (HYPOTENSION)? 9) What IS the effect of exercise on BP? How does the body benefit from this change in BP during exercise? 10) How would the BP of an anxious patient visiting a doctor be different than if the patient is calm? 11) In atherosclerosis, plaque builds up inside the arteries. How would this affect BP? Is this an example of…Which of the following is not a primary treatment for a patient with acute venous thrombosis? sitting elastic support bed rest application of heat What is most likely in a patient who has developed constrictive pericarditis and myocardial hypertrophy. systolic dysfunction diastolic dysfunction frontward failure backward failure A patient is admitted to the hospital with exudate in the pericardial cavity. Which cardiac condition is this common in? cardiac tamponade pericardial effusion acute pericarditis constrictive pericarditis
- One of the following is a life-threatening arrhythmia and an absolute emergency that should immediately be notified by the MA to the physician in the event it appears in the EKG strips. One of the following is a life-threatening arrhythmia and an absolute emergency that should immediately be notified by the MA to the physician in the event it appears in the EKG strips. Sinus rhythm Sinus tachycardia Sinus bradycardia Ventricular fibrillationA 50-year-old male patient arrives in the emergency department complaining of severe chest pain. He is taken to the cardiac cath lab for a coronary angiogram and left ventriculogram. The cardiologist discovers a lesion in the left main coronary artery branch and orders an immediate CABG. 1. Why does the location of this lesion make it more dangerous than lesions in other locations? 2. What does the acronym CABG stand for? 3. Assuming that the CABG is successful, what is the patient's postoperative prognosis? 4. Could the cardiologist perform an angioplasty to repair the lesion?A 56-year-old woman is brought to the emergency department because of substernal chest pain and profuse perspiration. An ECG shows ST-segment elevation in leads II, Ill, and aVF. Echocardiography shows a severe decrease in motility of the inferior surfaces of the left and right ventricles. Cardiorespiratory arrest occurs, and resuscitation is unsuccessful. At autopsy, a thrombus is most likely to be found in which of the following arterial branches? A)Marginal branch of the left anterior interventricular artery B)Marginal branch of the right coronary artery C) Posterior interventricular branch of the right coronary artery D) Posterior left ventricular branch of the circumflex artery E) Sinoatrial branch of the right coronary artery
- While assisting the circulator during outpatient surgery under local anesthesia, you are asked to take the patient’s vital signs for the duration of the case. Explain the following: 1. You do not know what the patient’s normal vital signs are. Do you need to know this in order to carry out this role? 2. You cannot find an available digital blood pressure apparatus so you must use a stethoscope and manual sphygmomanometer. Is this important to the documentation?How does a Chagas patient’s EKG compare to a normal EKG? Provide at least two differences between this EKG and a normal EKG. Predict what part of the heart electrical conduction pathway might be impaired as a result of the Chagas infection. Explain your rationale19) Male,30 years old, came to the clinic with paroxysmal palpitations for 2 days. Physical examination BP:125/70 mmHg. HR: 190 bpm, the heart rhythms and the sounds are normal. 1 minute later his heart rate suddeniy decreased to 80 bpm with the normal heart rhythm. What is his most likely clinical diagnosis? A Sinus tachycardia B Paroxysmal atrial fibrillation C Paroxysmal supraventricular tachycardia D Paroxysmal atrial flutter E Third degree atrioventricular block