Cardiology Pharmacology Quiz
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Questions and Answers

In which condition are amiodarone and dronedarone contraindicated?

  • Atrioventricular (AV) block (correct)
  • Atrial fibrillation
  • Sinus tachycardia
  • Premature ventricular contractions
  • What is a critical nursing action to perform before administering a beta blocker?

  • Monitor urine output and electrolyte levels
  • Assess respiratory rate and depth
  • Evaluate patient's level of consciousness
  • Check apical pulse and blood pressure (correct)
  • How do calcium channel blockers primarily affect myocardial contractility and the conduction system?

  • Increase myocardial contractility and depress conduction
  • Decrease myocardial contractility and depress conduction (correct)
  • Decrease myocardial contractility and accelerate conduction
  • Increase myocardial contractility and accelerate conduction
  • Which electrolyte imbalance is known to increase the risk of digoxin toxicity?

    <p>Hypokalemia (A)</p> Signup and view all the answers

    For which primary cardiac condition would epinephrine be administered?

    <p>Asystole (C)</p> Signup and view all the answers

    Which of the following is a physiological cause of sinus tachycardia?

    <p>Dehydration (D)</p> Signup and view all the answers

    What is the primary pharmacological action of atropine sulfate?

    <p>Increases heart rate (A)</p> Signup and view all the answers

    Dopamine is contraindicated in patients taking which class of medications?

    <p>Nonselective beta blockers (A)</p> Signup and view all the answers

    What is the typical atrial rate observed in atrial flutter?

    <p>250 to 350 bpm (D)</p> Signup and view all the answers

    Which ECG finding is characteristic of atrial flutter?

    <p>Sawtooth pattern of P waves (D)</p> Signup and view all the answers

    What distinguishes sinus bradycardia in athletes from other cases?

    <p>Efficient heart function (A)</p> Signup and view all the answers

    What is the primary treatment goal for atrial flutter?

    <p>Control ventricular rate and convert to NSR (C)</p> Signup and view all the answers

    Which medication class is commonly used to control the ventricular rate in atrial flutter?

    <p>Calcium channel blockers (C)</p> Signup and view all the answers

    Which of the following is NOT a characteristic of sinus bradycardia?

    <p>PRI of 0.25 seconds (A)</p> Signup and view all the answers

    If a patient with atrial flutter has a normal ventricular rate, what is the typical clinical presentation?

    <p>Usually no symptoms (B)</p> Signup and view all the answers

    A patient presents with a heart rate of 55 bpm, regular rhythm, and no other symptoms. What is the appropriate therapeutic measure?

    <p>Observe for symptom development (C)</p> Signup and view all the answers

    How are premature atrial contractions (PACs) typically managed?

    <p>Often no treatment other than correcting the cause (D)</p> Signup and view all the answers

    Which symptom is NOT typically associated with symptomatic bradycardia?

    <p>Increased peripheral pulses (A)</p> Signup and view all the answers

    What can frequent PACs indicate?

    <p>Atrial irritability (C)</p> Signup and view all the answers

    What is the defining characteristic of sinus tachycardia?

    <p>Heart rate greater than 100 bpm (D)</p> Signup and view all the answers

    If atropine is ineffective in treating symptomatic bradycardia, what is the next recommended step?

    <p>Transcutaneous pacing (B)</p> Signup and view all the answers

    What intervention is used for an unstable patient with atrial flutter and a rapid ventricular rate?

    <p>Synchronized cardioversion (D)</p> Signup and view all the answers

    Which medication is used to reduce the risk of blood clots in nonvalvular atrial fibrillation (AF)?

    <p>Apixaban (C)</p> Signup and view all the answers

    What is the role of adenosine in treating supraventricular tachycardia?

    <p>Slows conduction through the AV node (D)</p> Signup and view all the answers

    What is the primary advantage of a transcutaneous pacemaker?

    <p>Rapid deployment in emergency situations (A)</p> Signup and view all the answers

    Which type of pacemaker offers rate responsiveness based on the patient's activity level?

    <p>Activity-responsive pacemaker (A)</p> Signup and view all the answers

    How does a leadless pacemaker differ from traditional pacemakers?

    <p>It eliminates the need for leads (D)</p> Signup and view all the answers

    What medical imaging technique guides the implantation of permanent pacemakers?

    <p>Fluoroscopy (B)</p> Signup and view all the answers

    What does a spike on an ECG indicate in a paced rhythm?

    <p>Electrical stimulus from the pacemaker (B)</p> Signup and view all the answers

    Where is the generator of a permanent pacemaker typically implanted?

    <p>Subcutaneously (A)</p> Signup and view all the answers

    What is the typical lifespan of a leadless pacemaker battery?

    <p>8-12 years (A)</p> Signup and view all the answers

    What is the function of leads in a traditional pacemaker?

    <p>To transmit impulses to the heart wall (B)</p> Signup and view all the answers

    What is the primary function of the heart's electrical conduction system?

    <p>To initiate impulses for heart muscle contraction (B)</p> Signup and view all the answers

    An ECG primarily provides information about which aspect of the heart's function?

    <p>Electrical activity of the heart (C)</p> Signup and view all the answers

    What additional assessments are essential to confirm cardiac contraction and perfusion, alongside ECG readings?

    <p>Blood pressure and pulses (apical and peripheral) (D)</p> Signup and view all the answers

    Which components represent a complete cardiac cycle on an ECG?

    <p>P wave, QRS complex, and T wave (A)</p> Signup and view all the answers

    What does an ECG recording essentially capture?

    <p>A snapshot of the heart's electrical activity at a specific moment (D)</p> Signup and view all the answers

    What is the purpose of using different leads in an ECG?

    <p>To assess various aspects of the heart's electrical activity from diverse perspectives (A)</p> Signup and view all the answers

    On standard ECG graph paper, what is the time duration represented by one small square?

    <p>0.04 seconds (C)</p> Signup and view all the answers

    How many small squares are contained within one large block on ECG graph paper?

    <p>25 (C)</p> Signup and view all the answers

    Which of the following is a potential issue with pacemakers related to the heart's electrical activity?

    <p>Failure to sense the patient's own heartbeat (B)</p> Signup and view all the answers

    What is the recommended patient positioning in cases of pacemaker failure to capture?

    <p>Left lateral decubitus position (C)</p> Signup and view all the answers

    Which ECG tracing displays a ventricular-only pacemaker?

    <p>Green spike before QRS complex (A)</p> Signup and view all the answers

    Post-pacemaker implantation, which finding warrants immediate reporting to the healthcare provider?

    <p>Irregular heart rhythm slower than the pacemaker's set rate (C)</p> Signup and view all the answers

    Which activity restriction is typically advised after pacemaker implantation?

    <p>Limiting arm elevation on the pacemaker side (D)</p> Signup and view all the answers

    Which device generally requires caution when used by a patient with a pacemaker?

    <p>Cell phone held close to the chest (C)</p> Signup and view all the answers

    Which device poses a potential risk to pacemaker function and requires careful consideration?

    <p>Magnetic resonance imaging (MRI) with an incompatible device (C)</p> Signup and view all the answers

    What should a patient with a pacemaker do if they experience lightheadedness near an electromagnetic device?

    <p>Increase the distance between themselves and the device (C)</p> Signup and view all the answers

    Flashcards

    Cardiac Conduction System

    The heart's electrical system that initiates impulses for contraction.

    ECG

    A recording of the electrical activity of the heart over time.

    P wave, QRS complex, T wave

    Three waveform indicators of heart cycle's electrical activity.

    Mechanical cells

    Heart cells that contract in response to electrical impulses.

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    Blood pressure measurement

    Physical assessment to verify heart muscle contraction and perfusion.

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    Rhythm changes

    Alterations in the heart's normal electrical activity patterns.

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    12-lead ECG

    An ECG that provides 12 different views of the heart's activity.

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    Small square on ECG graph

    Represents 0.04 seconds in ECG timing measurement.

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    Amiodarone

    A medication for treating ventricular and atrial arrhythmias.

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    Dronedarone

    An antiarrhythmic drug used for atrial fibrillation.

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    Atropine Sulfate

    Increases heart rate; used for symptomatic bradycardia.

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    Beta Blockers

    Medications that decrease heart contractility and control rate.

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    Calcium Channel Blockers

    Decrease myocardial contractility and control heart rate.

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    Digoxin

    A cardiac glycoside that slows heart rate and maintains rhythm.

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    Vasopressors

    Medications that stimulate cardiac output and blood pressure.

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    Sinus Tachycardia

    Increased heart rate due to various factors like exercise or anxiety.

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    Sinus Bradycardia

    A condition with a heart rate of less than 60 bpm, usually regular rhythm.

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    Signs of Symptomatic Bradycardia

    May include decreased blood pressure, respiratory distress, fatigue, or syncope.

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    Treatment for Symptomatic Bradycardia

    Includes IV atropine or infusions of dopamine/epinephrine; pacing may be needed.

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    Dysrhythmia

    An abnormal or difficult rhythm of the heart.

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    Anticoagulants

    Drugs that increase clotting time to reduce blood clots, e.g. warfarin.

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    Adenosine

    An antiarrhythmic that slows conduction through the AV node for SVT.

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    Vitamin K (Reversal Agent)

    Used to reverse the effects of anticoagulants like warfarin.

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    PACs

    Premature Atrial Contractions that may occur in healthy or diseased hearts, often without symptoms.

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    Symptoms of PACs

    Usually absent, but may include palpitations if several PACs occur.

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    Beta blockers usage

    Medications used for treating frequent PACs to slow heart rate.

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    Atrial Flutter

    A condition where the atria contract rapidly (250-350 bpm) resulting in flutter waves on ECG.

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    Causes of Atrial Flutter

    Includes heart failure, hypertension, and certain medications affecting heart rhythm.

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    Atrial Flutter Rules

    Regular atrial rhythm, varying ventricular rate, sawtooth P waves, and measurable QRS interval.

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    Symptoms of Atrial Flutter

    Dependent on ventricular rate; can include palpitations, angina, or dyspnea with rapid rates.

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    Treatment for Atrial Flutter

    Aim to control ventricular rate; may include medications or synchronized cardioversion for unstable patients.

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    Temporary Pacemaker

    Used during surgery or in emergencies; supports heart rhythm temporarily.

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    Transcutaneous Pacemaker

    Easily applied external device delivering impulses through skin electrodes in emergencies.

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    Permanent Pacemaker

    Implanted device used for managing bradycardia and AV block; ongoing heart rhythm support.

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    Single-lead Pacemaker

    Paces either the right atrium or right ventricle with one lead inserted into the heart.

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    Dual-chamber Pacemaker

    Has two leads, pacing both right atrium and ventricle simultaneously for better coordination.

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    Activity-responsive Pacemaker

    Adapts heart rate according to activity levels, offering flexibility for exercise demands.

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    Leadless Pacemaker

    A compact device implanted via a leg vein, with no leads and a longer battery life.

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    Paced Rhythm on ECG

    Small spikes seen on ECG indicating electrical stimulations from the pacemaker.

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    Failure to sense

    When a pacemaker does not detect the patient's own heartbeat.

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    Failure to pace

    Malfunction of the pulse generator preventing pacing.

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    Failure to capture

    The heart does not depolarize when paced.

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    Post-implant monitoring

    Monitoring heart rhythm and incision after pacemaker placement.

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    Activity restrictions

    Limitations on movements after pacemaker surgery.

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    Safe devices with pacemakers

    Common devices like microwaves and cell phones are generally safe.

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    Caution devices

    Devices that require careful use around a pacemaker.

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    Pacemaker identification card

    A card to show HCPs and security about having a pacemaker.

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    Study Notes

    Cardiac Conduction System

    • The heart's electrical system initiates impulses, causing heart muscle contraction.
    • Electrical activity is visible on a cardiac monitor or ECG tracing.
    • ECG activity doesn't confirm mechanical contraction, confirming perfusion is crucial.
    • Blood pressure and peripheral pulses verify cardiac contraction and perfusion.

    Cardiac Cycle

    • The electrical cycle involves P wave, QRS complex, and T wave which represent atrial and ventricular depolarization/repolarization.

    Electrocardiogram (ECG)

    • ECGs visualize heart's electrical activity, offering various views (leads).
    • A 12-lead ECG shows 12 different views of the heart's electrical activity.
    • An 18-lead ECG presents 18 views.
    • Continuous monitoring can use one or two leads; continuous 12-lead monitoring can also be done.
    • Understanding normal heart rhythms and common arrhythmias are needed to identify abnormalities.

    ECG Graph Paper

    • ECG graph paper is calibrated in small squares.
    • Each small square represents 0.04 seconds.
    • Half square = 0.02 seconds.
    • Waveform measurement is done horizontally (left to right) for time and vertically (amplitude) for height.

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    Related Documents

    Cardiac Conduction System PDF

    Description

    Test your knowledge on key pharmacological principles and nursing actions related to cardiology. This quiz covers contraindications for medications, critical nursing interventions, and the effects of various drugs on cardiac conditions. Challenge yourself and see how well you understand these vital concepts!

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