Cardiology 101

Identify what type of STEMI is on this 12 Lead ECG.

• Inferior

• Anterior

• Posterior

• Lateral

Identify what type of STEMI is on this 12 Lead ECG.

• Inferior

• Anterior

• Posterior

• Lateral

Patient calls 911 for fatigue, dyspnea, chest pain and syncopal episode. Upon EMS arrival the patient is in 2^nd Degree Mobitz Type II Block cardiac rhythm. HR 36, BP 68/30, alert and oriented, skin pale and moist. What medication would EMS administer at this time?

• Amiodarone 150mg IV

• Atropine 1 mg IV

• 50% Dextrose 25 grams IV

• Epinephrine 1mg IV

Patient presents to the Emergency Department with shortness of breath, dizziness and palpitations. HR 178, BP 92/44, O2 Sats 96%, Weight 75 kg. ECG reveals patient with Supraventricular Tachycardia. What medication would you begin preparing for infusion?

• Lidocane 75mg IV

• Magnesium Sulfate 1gram IV

• Adenosine 6mg IV

• Dopamine 150mcg IV

What causes Ventricular Tachycardia?

• Abnormal electrical signal changes in the lower chambers of the heart that interferes with normal signals from SA node.

• Sinoatrial node fires signal less than 60 beats per minute.

• Changes in the heart tissue of the upper chambers causing unusual signals in the atrium to contract abnormally.

• Occasional irregular contraction in the ventricle.

What cardiac rhythm is demonstrated?

• Third Degree AV Disassociation

• Second Degree Mobitz Type I

• First Degree Mobitz Type I

• Second Degree Mobitz Type II

What cardiac rhythm is demonstrate?

• Right Bundle Branch Block

• Left Bundle Branch Block

• Third Degree Block

• Second Degree Block

47 y/o  male patient presents to the emergency department  with sudden onset of chest pain and shortness of breath. He has a history of hypertension. What lab value would be most concerning?

• Troponin 0.5 ng/mL

• D-Dimer 0.47 mg/L

• Hemoglobin 13g/dL

• Lactate 0.75 mmol/L

A patient is showing symptoms of dyspnea, swelling of their lower extremities bilaterally. The physical exam reveals their skin is moist and dry. Upon further questioning, the patients admits to the inability to lay flat when sleeping. Which lab value would be anticipated to be abnormal in this scenario?

• WBC 15,000/mm3

• INR 13.1 seconds

• CK-MB 211U/L

• BNP 742pg/mL

Tags

NGSS.HS-LS1-3

Using the same patient clinical scenario above, the patient vital signs are BP 174/110, HR 138, Respiration 44, O2 Sats 82% on room air, Temperature 99.0. What treatment can the nurse predict to be ordered?

• Initiate Cardene 5mg/hr IV infusion

• Place Nitro Paste 1" to chest wall

• Initiate BiPAP

• Place NC at 6L