Cardiac Quiz

the result of significant decrease in cardiac output or abnormal distribution of blood volume.

Shock is a life-threatening condition due to not getting enough blood flow

Match the following types of shock with their descriptions:

Match the following conditions with their effects on blood flow:

Match the following shock types with their primary causes:

Rule #1 These drugs should ___ given through periphery .

A nurse is teaching her students about pressors , Which comment needs more teaching?

A student sees a patient whos on a vasopressor tissue is having necrosis , what is happening and what should be done ?

What type of line is commonly used in conjunction with vasopressors ?

Why do we give vasopressors ?

A patient comes in with hypotention and shock , Dr orders to give them the medication that Mimic the effect of the sympathetic nervous system and that will RAISE BLOOD PRESSURE . Which medication do we adminster and route ?

Patient is taken Norepinephrine Due to the profound vasoconstriction – patient is at ______risk for limb ischemia, ______ (kidney/liver)

A student nurse as their nurse how do we give Norepinephrine and why ?

Which medication is most useful in Anaphylaxis or Profound Refractory Hypotension?

Doctor orders a medication that has potent Alpha1, Beta1, and Beta 2 receptor agonist because he says it will raise BP, Heart Rate, Systemic Vascular, Resistance, Cardiac Index, and Stroke Volume. Which medication was he referring to

Nurse tells student nurse that they need the medication that has action that is dose dependent because it has different receptors alpha vs beta vs dopaminergic are stimulated depending on how much or how little is given. which med does the student get from the med cart?

Dopamine is a precursor of epinephrine and norepinephrine

Match the dose amounts for dopamine

Dopamine : At low doses there is ________ effect on heart rate or blood pressure but increased renal perfusion (increased urine output) • At higher doses it can ______ heart rate • At max doses it can ______ heart rate and blood pressure

Dobutamine

which medication do we use when an increase in Cardiac Output is needed without the increase in Blood Pressure

Dobutamine

Dobutamine • Caveat: The patient actually needs a little “extra” blood pressure because the vasodilating effects may cause ?

Which drug is A synthetic adrenergic drug that stimulates ALPHA-adrenergic receptors to produce vasoconstriction, Longer duration than epinephrine but less potent effects, Can cause bradycardia

Cardiac drugs

Cardiac drugs

Patient comes in with Decreased Cardiac Output, Cardiac Dysrhythmias, Edema, Electrolyte imbalances, Acute Exacerbations what type of complications are they experencing ?

What is the digoxin safe range ?

Patient comes in with heart failure with L ventricular dysfunction what medication would we admister

Patient with HYPOKALEMIA, digoxin _____ can develop

In a patient with HYPERKALEMIA , digoxin can be ___

Digoxin is considered what line of drug choice for heart failure

Patient is lethargy, confusion, GI upset with bradycardia and Yellowish-green discoloration of the vision what is happening and what is the nurses action needed to do ?

What are some nursing considerations needed for Digoxin

Diuretic Therapy

Diuretic Therapy

patient comes in with edema, fluid overload in patient’s with moderate to severe heart failure. Which medication do we give

which diuretic medication effects are

1. Major diuresis
2. High potential for fluid-electrolyte imbalances
3. • ototoxicity + nephrotoxicity

What is a nursing consideration for patients on loop diuretics?

When should loop diuretics be held for the patient's safety?

Which parameter should be monitored especially in patients on loop diuretics?

What is the primary effect of Beta Blockers in heart failure?

Which drug is a prototype for heart failure and prevents ventricular fibrillation?

What is the impact of Beta Blockers on cardiac workload and oxygen consumption?

What is the primary effect of Milrinone in acute heart failure?

What is the main impact of Milrinone on systemic/pulmonary vasculature?

Which condition is Milrinone commonly used for?

What is the primary recommended use of Sacubitril/Valsartan (Entresto)?

What is a Risk associated with Sacubitril/Valsartan (Entresto)?

What patient population should not use Sacubitril/Valsartan (Entresto) due to the black box warning?

Why are vasopressors commonly given through a central line?

Why is it important for a patient to be optimally fluid resuscitated before administering vasopressors?

What is the primary purpose of using an arterial line in conjunction with vasopressors?

In the context of shock, which type of shock is characterized by a significant decrease in cardiac output or abnormal distribution of blood volume?

Which drug mimics the effect of the sympathetic nervous system, causing vasoconstriction and raising blood pressure?

Which drug has effects that are dose-dependent, with different receptors being stimulated at varying doses?

Which drug is used when an increase in cardiac output is needed without raising blood pressure?

Which drug stimulates alpha-adrenergic receptors to produce vasoconstriction, with longer duration but less potent effects than epinephrine?

Which drug is indicated for use in heart failure with left ventricular dysfunction and has a narrow therapeutic index?

What are the symptoms of digoxin toxicity?

Which drug is commonly used for managing edema and fluid overload in heart failure, with potent effects and requiring close monitoring of electrolytes?

Which type of heart failure can result from structural damage, decreased cardiac output, cardiac dysrhythmias, and complications like edema and electrolyte imbalances?

Which drug mimics endogenous catecholamines, raising blood pressure, heart rate, systemic vascular resistance, cardiac index, and stroke volume?

Which drug is a sympatholytic drug commonly used in heart failure management?

Which drug is used to reverse or assist the detrimental effects of heart failure and is also a neprilysin inhibitor?

Which drug is most commonly used for managing edema and fluid overload in heart failure, with high potential for fluid-electrolyte imbalances and ototoxicity?