{"id":131859,"date":"2024-01-25T07:50:57","date_gmt":"2024-01-25T07:50:57","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=131859"},"modified":"2024-01-25T07:50:59","modified_gmt":"2024-01-25T07:50:59","slug":"exam-1-nsg223-nsg-223-new-2024-2025-update-med-surg-2-exam-guide-questions-and-verified-answers-100-correct-graded-a-herzing","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2024\/01\/25\/exam-1-nsg223-nsg-223-new-2024-2025-update-med-surg-2-exam-guide-questions-and-verified-answers-100-correct-graded-a-herzing\/","title":{"rendered":"Exam 1: NSG223\/ NSG 223 (New 2024\/ 2025 Update) Med Surg 2 Exam| Guide Questions and Verified Answers| 100% Correct| Graded A- Herzing"},"content":{"rendered":"\n<p>Exam 1: NSG223\/ NSG 223 (New 2024\/ 2025 Update) Med Surg 2 Exam| Guide Questions and Verified Answers| 100% Correct| Graded A- Herzing<\/p>\n\n\n\n<p>Exam 1: NSG223\/ NSG 223 (New 2024\/ 2025<br>Update) Med Surg 2 Exam| Guide Questions<br>and Verified Answers| 100% Correct|<br>Graded A- Herzing<br>QUESTION<br>Atherosclerosis pathology<br>Answer:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Narrowing (stenosis) of lumen, obstruction by thrombosis, aneurysm, ulceration, and rupture<\/li>\n\n\n\n<li>cells die due to lack of blood flow<\/li>\n\n\n\n<li>vulnerable where arteries bifurcate\/branch<\/li>\n\n\n\n<li>males have more below-the-knee pathology<br>QUESTION<br>Fatty streaks (atherosclerotic lesions)<br>Answer:<br>Yellow &amp; smooth; composed of lipids and elongated smooth muscle cells; do not cause<br>symptoms<br>QUESTION<br>Fibrous plaques (atherosclerotic lesions)<br>Answer:<br>White to white-yellow; composed of smooth muscle cells, collagen fibers, plasma, and lipids;<br>found in main arteries and are progressive<br>QUESTION<br>Atherosclerosis prevention<br>Answer:<\/li>\n\n\n\n<li>Statins &#8211; 1st line<\/li>\n\n\n\n<li>Others: bile acid sequestrants (cholestyramine), fibric acid inhibitors (gemfibrozil), cholesterol<br>absorption inhibitors (ezetimibe), Niacin<\/li>\n\n\n\n<li>Control hypertension which makes this worse (majority require 2 or more antihy- pertensives)<\/li>\n\n\n\n<li>Eliminate nicotine<br>QUESTION<br>Atherosclerosis, nursing mgt<br>Answer:<\/li>\n\n\n\n<li>Elevate HOB, feet down\/dependent position<\/li>\n\n\n\n<li>Walk to point of pain, rest, resume<\/li>\n\n\n\n<li>Warm applications for arterial flow (bath, drink, pad, water bottle, etc.)<br>QUESTION<br>Acute coronary syndrome (ACS) pathophysiology<br>Answer:<\/li>\n\n\n\n<li>Plaque rupture in MI with resulting thrombus formation that occludes artery, leading to<br>ischemia\/necrosis of myocardium<br>QUESTION<br>Descriptions to identify an MI<br>Answer:<br>1.the type (NSTEMI, STEMI)<br>2.Location of injury to ventricular wall (anterior, inferior, posterior, or lateral)<br>3.Point in time within process of infarction (acute, evolving, or old)<br>QUESTION<br>ACS pharm mgt<br>Answer:<\/li>\n\n\n\n<li>Go to the hospital<\/li>\n\n\n\n<li>Get 12-lead ECG rhythm within 10 min<\/li>\n\n\n\n<li>Obtain troponin labs<\/li>\n\n\n\n<li>Routine interventions: MONAH (morphine, oxygen, nitro, aspirin, heparin), beta-blocker,<br>ACE-inhibitor, statin<\/li>\n\n\n\n<li>Reperfusion therapy most helpful (restores blood flow to blocked arteries)<\/li>\n\n\n\n<li>Fibrinolytic therapy &#8211; dissolves clots<br>-Secondary prevention of STEMI (Ace, BB, antiCoag)<br>QUESTION<br>ACS nursing mgt<br>Answer:<\/li>\n\n\n\n<li>Elevate HOB<\/li>\n\n\n\n<li>Oxygen 2-4 L\/min @95%<\/li>\n\n\n\n<li>Auscultate heart &amp; lungs<\/li>\n\n\n\n<li>12-ECG<\/li>\n\n\n\n<li>Assess consciousness, urine output, skin, BP, activity tolerance<\/li>\n\n\n\n<li>Reduce anxiety<br>QUESTION<br>Suspected MI<br>Answer:<br>MONA (morphine, oxygen, nitro, aspirin)<br>QUESTION<br>Patient with STEMI<br>Answer:<br>taken directly to cath lab for immediate PCI<br>QUESTION<br>Thrombolytics\/Fibrinolytics<br>Answer:<br>-agents that dissolve blood clots<\/li>\n\n\n\n<li>only used when primary PCI not available or transport to hospital is too long<br>Powered by <a href=\"https:\/\/learnexams.com\/search\/study?query=\" target=\"_blank\" rel=\"noopener\">https:\/\/learnexams.com\/search\/study?query=<\/a><\/li>\n<\/ul>\n\n\n\n<p>Cardiomyopathy diagnostic tests<br>Chest x-ray (cardiomegaly)<br>Echocardiography<br>ECG<br>Cardiac catheterization<br>Endomyocardial biopsy<\/p>\n\n\n\n<p>Cardiomyopathy pharmacological mgt<br>beta blockers; potassium channel blockers, angiotensin-converting enzyme (ACE) inhibitors; digoxin, diuretics, and dysrhythmic agents.<\/p>\n\n\n\n<p>Aortic or mitral valve d\u00e9bridement, excision, or replacement is required in what kind of patients?<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Develop congestive heart failure despite adequate medical treatment<\/li>\n\n\n\n<li>Have more than one serious systemic embolic episode<\/li>\n\n\n\n<li>Develop a valve obstruction<\/li>\n\n\n\n<li>Develop a periannular (heart valve), myocardial, or aortic abscess<\/li>\n\n\n\n<li>Have uncontrolled infection, persistent or recurrent infection, or fungal endocarditis<br>Surgical valve replacement<\/li>\n\n\n\n<li>Have prosthetic valve endocarditis<\/li>\n<\/ul>\n\n\n\n<p>Endocarditis primary symptoms<br>fever &amp; heart murmur<\/p>\n\n\n\n<p>Additional are petechiae, Olsner nodes, Janeway lesions, Roth spots, headache, stroke, HF, tachycardia, cardio\/splenomegaly<\/p>\n\n\n\n<p>Endocarditis medical mgt<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>NSAIDs as antipyretics<\/li>\n\n\n\n<li>Long-term IV microbial therapy<\/li>\n<\/ul>\n\n\n\n<p>Endocarditis Pathophysiology<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Deformity or injury leads to clot formation<\/li>\n\n\n\n<li>Bacterial infections (Staph &amp; Strep)<\/li>\n\n\n\n<li>Infection most frequently occurs from clustering vegetations<\/li>\n\n\n\n<li>Vegetations &gt; 10mm = Left-sided heart endocarditis<\/li>\n\n\n\n<li>Pulmonary emboli = Right-sided heart endocarditis<\/li>\n<\/ul>\n\n\n\n<p>Meds for Myocarditis<br>Penicillins, Amphotericin B<\/p>\n\n\n\n<p>Myocarditis pathology<br>Viral infections or immune related (rheumatic fever, Crohn&#8217;s, Lupus)<\/p>\n\n\n\n<p>Pericarditis &#8211; nursing mgt<br>Analgesics, forward-leaning or sitting position to relieve pain, gradual increases in acivity<\/p>\n\n\n\n<p>Pericarditis assessment<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Evaluate patient in various positions<\/li>\n\n\n\n<li>presence of pericardial friction rub (hallmark sign) (creaky\/scratch, louder at exhalation)<\/li>\n\n\n\n<li>pt has to sit, lean forward, and hold their breath for rub to be heard<\/li>\n<\/ul>\n\n\n\n<p>Pericardial effusion<br>abnormal accumulation of fluid b\/w pericardial linings<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>can accumulate and choke the heart (i.e., cardiac tamponade, impair v-filling &amp; pumping)<\/li>\n<\/ul>\n\n\n\n<p>Cardiac tamponade<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>acute compression of the heart<\/li>\n\n\n\n<li>SOB, chest tightness, dizziness<\/li>\n\n\n\n<li>Beck triad is hallmark (hypotension, muffled heart sounds, elevated jugular venous pressure)<\/li>\n\n\n\n<li>heart sounds go from distant to imperceptible<\/li>\n<\/ul>\n\n\n\n<p>Angina pectoris pathophysiology<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Atheroslerosis<\/li>\n\n\n\n<li>Associated w\/angina pain: physical exertion, exposure to cold, eating a heavy meal, or stressful situation<\/li>\n<\/ul>\n\n\n\n<p>Types of Angina<br>stable, unstable, intractable\/refractory, variant, silent ischemia<\/p>\n\n\n\n<p>Intractable or refractory angina<br>severe incapacitating chest pain<\/p>\n\n\n\n<p>Variant angina<br>pain at rest with reversible ST-segment elevation; thought to be caused by coronary artery vasospasm<\/p>\n\n\n\n<p>Silent ischemia<br>Objective evidence of ischemia (ECG changes w\/stress test) but no pain<\/p>\n\n\n\n<p>Angina nursing mgt<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Treat it: stop activities, semi-Fowler&#8217;s, 12-lead ECG, nitro, oxygen<\/li>\n\n\n\n<li>Reduce anxiety: guided imagery, music therapy, spiritual needs<\/li>\n\n\n\n<li>Promote care: education, symptoms, prevention<\/li>\n<\/ul>\n\n\n\n<p>Angina pharmacological mgt<\/p>\n\n\n\n<p>Atherosclerosis pathology<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Narrowing (stenosis) of lumen, obstruction by thrombosis, aneurysm, ulceration, and rupture<\/li>\n\n\n\n<li>cells die due to lack of blood flow<\/li>\n\n\n\n<li>vulnerable where arteries bifurcate\/branch<\/li>\n\n\n\n<li>males have more below-the-knee pathology<\/li>\n<\/ul>\n\n\n\n<p>Fatty streaks (atherosclerotic lesions)<br>Yellow &amp; smooth; composed of lipids and elongated smooth muscle cells; do not cause symptoms<\/p>\n\n\n\n<p>Fibrous plaques (atherosclerotic lesions)<br>White to white-yellow; composed of smooth muscle cells, collagen fibers, plasma, and lipids; found in main arteries and are progressive<\/p>\n\n\n\n<p>Atherosclerosis prevention<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Statins &#8211; 1st line<\/li>\n\n\n\n<li>Others: bile acid sequestrants (cholestyramine), fibric acid inhibitors (gemfibrozil), cholesterol absorption inhibitors (ezetimibe), Niacin<\/li>\n\n\n\n<li>Control hypertension which makes this worse (majority require 2 or more antihypertensives)<\/li>\n\n\n\n<li>Eliminate nicotine<\/li>\n<\/ul>\n\n\n\n<p>Atherosclerosis, nursing mgt<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Elevate HOB, feet down\/dependent position<\/li>\n\n\n\n<li>Walk to point of pain, rest, resume<\/li>\n\n\n\n<li>Warm applications for arterial flow (bath, drink, pad, water bottle, etc.)<\/li>\n<\/ul>\n\n\n\n<p>Acute coronary syndrome (ACS) pathophysiology<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Plaque rupture in MI with resulting thrombus formation that occludes artery, leading to ischemia\/necrosis of myocardium<\/li>\n<\/ul>\n\n\n\n<p>Descriptions to identify an MI<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>the type (NSTEMI, STEMI)<\/li>\n\n\n\n<li>Location of injury to ventricular wall (anterior, inferior, posterior, or lateral)<\/li>\n\n\n\n<li>Point in time within process of infarction (acute, evolving, or old)<\/li>\n<\/ol>\n\n\n\n<p>ACS pharm mgt<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Go to the hospital<\/li>\n\n\n\n<li>Get 12-lead ECG rhythm within 10 min<\/li>\n\n\n\n<li>Obtain troponin labs<\/li>\n\n\n\n<li>Routine interventions: MONAH (morphine, oxygen, nitro, aspirin, heparin), beta-blocker, ACE-inhibitor, statin<\/li>\n\n\n\n<li>Reperfusion therapy most helpful (restores blood flow to blocked arteries)<\/li>\n\n\n\n<li>Fibrinolytic therapy &#8211; dissolves clots<br>-Secondary prevention of STEMI (Ace, BB, antiCoag)<\/li>\n<\/ul>\n\n\n\n<p>ACS nursing mgt<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Elevate HOB<\/li>\n\n\n\n<li>Oxygen 2-4 L\/min @95%<\/li>\n\n\n\n<li>Auscultate heart &amp; lungs<\/li>\n\n\n\n<li>12-ECG<\/li>\n\n\n\n<li>Assess consciousness, urine output, skin, BP, activity tolerance<\/li>\n\n\n\n<li>Reduce anxiety<\/li>\n<\/ul>\n\n\n\n<p>Suspected MI<br>MONA (morphine, oxygen, nitro, aspirin)<\/p>\n\n\n\n<p>Patient with STEMI<br>taken directly to cath lab for immediate PCI<\/p>\n\n\n\n<p>Thrombolytics\/Fibrinolytics<br>-agents that dissolve blood clots<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>only used when primary PCI not available or transport to hospital is too long<\/li>\n<\/ul>\n\n\n\n<p>Cardiac rehab phases<br>Phase 1: Inpatient &#8211; hospital admittance, diagnosis, education<\/p>\n\n\n\n<p>Phase 2: Outpatient &#8211; discharged, supervised exercise<\/p>\n\n\n\n<p>Phase 3: Community &#8211; self-directed exercise<\/p>\n\n\n\n<p>Cardiac monitoring<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Hardwire &#8211; uses 1 or 2 ECG leads only<\/li>\n\n\n\n<li>Telemetry &#8211; transmits radio waves from battery-operated transmitter to central bank of monitors<\/li>\n\n\n\n<li>Lead systems &#8211; most selected are leads II and V1<\/li>\n\n\n\n<li>Ambulatory ECG &#8211; for home monitoring<\/li>\n\n\n\n<li>Continuous monitors &#8211; aka Holter monitors, uses blue-tooth technology<\/li>\n\n\n\n<li>Real-time monitors &#8211; automatically transmits ECG to monitoring center<\/li>\n\n\n\n<li>Implantable devices: pacemakers that automatically detect dysrhythmias for up to 3 years<\/li>\n<\/ul>\n\n\n\n<p>Cardiac monitoring, nursing interventions<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Use proper skin prep to eliminate artifact (abnormal ECG pattern from other issues rather than heart) and change electrodes every 24 hours<\/li>\n\n\n\n<li>Best leads: lead II and lead V1<\/li>\n<\/ul>\n\n\n\n<p>Stress test for cardiac monitoring<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Avoid eating or drinking for at least 3 hours before test<\/li>\n\n\n\n<li>Avoid chocolate or caffeine for 24 hours<\/li>\n<\/ul>\n\n\n\n<p>Patients who may require cardiac monitoring<br>\u00b7 Chest pain<br>\u00b7 Palpitations<br>\u00b7 Acute Coronary Syndrome &#8211; STEMI, NSTEMI, unstable angina<br>\u00b7 Following major surgery &#8211; ITU, HDU, cardiac surgery<br>\u00b7 Major trauma<br>\u00b7 Post cardiac\/respiratory arrest<br>\u00b7 Acute medical conditions &#8211;<br>\u00b7 Pulmonary embolus, drug overdose, electrolyte imbalance<br>\u00b7 Unexplained syncope episodes<br>\u00b7 Shock<br>\u00b7 Undergoing a specific treatment<\/p>\n\n\n\n<p>positive deflection<br>When an ECG waveform moves toward the top of the paper<\/p>\n\n\n\n<p>negative deflection<br>When an ECG waveform moves toward the bottom of the paper<\/p>\n\n\n\n<p>P wave<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>atrial depolarization<\/li>\n\n\n\n<li>up to 0.11 seconds<\/li>\n<\/ul>\n\n\n\n<p>QRS complex<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>ventricular depolarization<\/li>\n\n\n\n<li>up to 0.12 seconds<\/li>\n<\/ul>\n\n\n\n<p>T wave<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>ventricular repolarization<\/li>\n\n\n\n<li>aka resting state<\/li>\n<\/ul>\n\n\n\n<p>U wave<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>repolarization of the Purkinje fibers<\/li>\n\n\n\n<li>sometimes appears in those w\/hypokalemia, HTN, or heart disease<\/li>\n<\/ul>\n\n\n\n<p>PR interval<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>atrial depolarization<\/li>\n\n\n\n<li>0.12 to 0.20 seconds<\/li>\n<\/ul>\n\n\n\n<p>ST segment<br>ventricular repolarization<\/p>\n\n\n\n<p>QT interval<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>ventricular depolarization and repolarization<\/li>\n\n\n\n<li>usually 0.32 to 0.40 seconds<\/li>\n<\/ul>\n\n\n\n<p>Torsades de pointes<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>A lethal ventricular dysrhythmia<\/li>\n\n\n\n<li>Associated with long QT interval<\/li>\n\n\n\n<li>Treated with magnesium<\/li>\n<\/ul>\n\n\n\n<p>TP interval<br>isoelectric period where line remains flat<\/p>\n\n\n\n<p>PP interval<br>measured from one P wave to the next to determine atrial rate &amp; rhythm<\/p>\n\n\n\n<p>Determining Heart Rate from the Electrocardiogram<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Count the number of small boxes within an RR interval and divide 1,500 by that number<\/li>\n\n\n\n<li>Ex: there are 10 small boxes between two R waves, the heart rate is 1,500\/10, or 150 bpm; if there are 25 small boxes, the heart rate is 1,500\/25, or 60 bpm<\/li>\n\n\n\n<li>If the intervals are the same or if the difference between the intervals is less than 0.8 seconds throughout the strip, the rhythm is called regular. If the intervals are different, the rhythm is called irregular.<\/li>\n<\/ul>\n\n\n\n<p>Sinus Bradycardia<br>\u00b7 Ventricular and atrial rate: &lt; 60 bpm<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Tx: Atropine<\/li>\n<\/ul>\n\n\n\n<p>*intervals are spaced out<\/p>\n\n\n\n<p>Sinus tachycardia<br>\u00b7 Ventricular and atrial rate: &gt; 100 bpm, &lt; 120 bpm<\/p>\n\n\n\n<p>*intervals are shortened<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Treat with beta-blockers<\/li>\n\n\n\n<li>If wide QRS: CCB, adenosine, procainamide, amiodarone, sotalol<\/li>\n\n\n\n<li>If persistent: Catheter ablation<\/li>\n<\/ul>\n\n\n\n<p>Sinus Arrhythmia<br>\u00b7 Ventricular and atrial rhythm: Irregular<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>creates an impulse at an irregular rhythm; the rate usually increases with inspiration and decreases with expiration<\/li>\n<\/ul>\n\n\n\n<p>*not typically treated<\/p>\n\n\n\n<p>Premature Atrial Complex (PAC)<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Ventricular and atrial rhythm: Irregular due to early P waves, non-compensatory pause<\/li>\n\n\n\n<li>PR interval: The early P wave has a shorter-than-normal PR interval (but still 0.12-0.20 seconds)<\/li>\n\n\n\n<li>are ectopic beats that originate from the atria and are not rhythms (palpitations)<\/li>\n\n\n\n<li>Treatment only necessary when &gt;6\/min, reduce caffeine, correct hypokalemia<\/li>\n<\/ul>\n\n\n\n<p>Atrial flutter<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>250 to 400 beats\/minute<\/li>\n\n\n\n<li>abnormal rhythm from atria<\/li>\n\n\n\n<li>saw tooth P configuration<\/li>\n\n\n\n<li>Tx: IV adenosine<\/li>\n<\/ul>\n\n\n\n<p>Atrial fibrillation<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>rate is 350-600 bpm<\/li>\n<\/ul>\n\n\n\n<p>Watchman Device<br>Used when patient has a-fib but is contraindicated for anti-thrombotics<\/p>\n\n\n\n<p>Ventricular fibrillation<\/p>\n\n\n\n<p>Ventricular tachycardia<br>Treatment: cardioversion, defibrillation<\/p>\n\n\n\n<p>Atropine<br>Drug of choice to treat symptomatic sinus bradycardia<\/p>\n\n\n\n<p>Heparin-induced thrombocytopenia (HIT) (type II)<br>a potentially life-threatening complication of heparin administration, leading to a decrease in platelet count and detectable HIT antibodies<\/p>\n\n\n\n<p>Heparin<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>normal control value is 25 to 35 seconds;<\/li>\n\n\n\n<li>the therapeutic values of adequate anticoagulation are approximately 45 to 70 seconds.<\/li>\n<\/ul>\n\n\n\n<p>Warfarin<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>the most commonly used oral anticoagulant and is the prototype vitamin K antagonist<\/li>\n\n\n\n<li>acts in the liver to prevent the synthesis of vitamin K-dependent clotting factors (i.e., factors II, VII, IX, and X)<\/li>\n<\/ul>\n\n\n\n<p>Rivaroxaban<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Prototype for direct factor Xa inhibitor<\/li>\n\n\n\n<li>inactivates circulating and clot-bound factor Xa<\/li>\n\n\n\n<li>inhibits platelet activation and fibrin clotting formation by inhibiting actor Xa in both intrinsic and extrinsic coagulation pathways<\/li>\n\n\n\n<li>used in the treatment and secondary prevention of venous thromboembolism and in stroke prevention in patients with nonvalvular atrial fibrillation.<\/li>\n<\/ul>\n\n\n\n<p>Digoxin<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>cardiac glycoside to treat HF in patients with left ventricular dysfunction<\/li>\n\n\n\n<li>also treats a-fib<\/li>\n\n\n\n<li>slows HR, decreases fatigue<\/li>\n<\/ul>\n\n\n\n<p>Digitalization<br>the administration of a loading dose (a dose larger than the regular prescribed daily dosage) of digoxin to reach the therapeutic index<\/p>\n\n\n\n<p>Propranolol<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Prototype class II antiarrhythmic (beta-blockers)<\/li>\n\n\n\n<li>to slow the ventricular rate of contraction in atrial flutter and atrial fibrillation<\/li>\n\n\n\n<li>decrease HR &amp; BP<\/li>\n<\/ul>\n\n\n\n<p>Diltiazem (Cardizem)<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>prototype class IV drug (CCB)<\/li>\n\n\n\n<li>decrease HR<\/li>\n\n\n\n<li>only effective in supraventricular tachycardia<\/li>\n<\/ul>\n\n\n\n<p>Amiodarone (Cordarone)<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Potassium channel blocker<\/li>\n\n\n\n<li>For life-threatening ventricular &amp; atrial dysrhythmias<\/li>\n\n\n\n<li>Vasodilating effects, decreases HR, and decreases the contractility of the left ventricle<\/li>\n<\/ul>\n\n\n\n<p>CHA2DS2-VASC score<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Stroke Risk Assessment for the Patient With Atrial Fibrillation<\/li>\n\n\n\n<li>Score 0 = no therapy or aspirin 75-325 mg daily<\/li>\n\n\n\n<li>Score 1 or higher = Warfarin or factor Xa inhibitor (rivaroxiban [Xarelto])<\/li>\n<\/ul>\n\n\n\n<p>Meds to control HR in<br>A-fib<br>Beta-blocker &amp; CCB<\/p>\n\n\n\n<p>Meds that convert rhythm or prevent A-fib<br>Flecainide, dofetilide, amiodarone<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Exam 1: NSG223\/ NSG 223 (New 2024\/ 2025 Update) Med Surg 2 Exam| Guide Questions and Verified Answers| 100% Correct| Graded A- Herzing Exam 1: NSG223\/ NSG 223 (New 2024\/ 2025Update) Med Surg 2 Exam| Guide Questionsand Verified Answers| 100% Correct|Graded A- HerzingQUESTIONAtherosclerosis pathologyAnswer: Cardiomyopathy diagnostic testsChest x-ray (cardiomegaly)EchocardiographyECGCardiac catheterizationEndomyocardial biopsy Cardiomyopathy pharmacological mgtbeta blockers; [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-131859","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/131859","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=131859"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/131859\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=131859"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=131859"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=131859"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}