Float Nurse

Identify the following rhythms. 01.  Identify the following rhythm. a. Sinus rhythm with a PAC b. Sinus rhythm with a PVC c. Sinus rhythm with a PJC d. Sinus rhythm with a fusion beat 02.  Identify the following rhythm. a. Atrial paced b. AV paced c. Biventricular paced d. Ventricular paced 03.  Identify the following rhythm. a. Normal sinus rhythm b. First degree block c. Sinus arrest d. Sinus bradycardia 04.  Identify the following rhythm. a. Sinus rhythm with sinus arrest b. Sinus arrhythmia c. Atrial fibrillation d. 2 nd  degree heart block type I 05.  Identify the following rhythm. a. Atrial paced b. AV paced c. Biventricular paced d. Ventricular paced 06.  Identify the following rhythm. a. Junctional rhythm b. Accelerated idioventricular rhythm c. Agonal rhythm d. Atrial fibrillation 07.  Identify the following rhythm. a. Complete heart block b. 2 nd  degree h

Answers 01. Trandate (Labetolol) 02. Albuterol (Salbutamol) 03. Colcrys (Cholchicine) 04.  Zithromax (Azithromycin) 05. Nizoral (Ketoconazole)

Answers 01. a. .04 - .08 sec. 02. c. Purkinje fibers 03. b. By cell to cell conduction of the original impulse 04. a. A small positive R wave and a wide downward S wave or rS complex 05. a. Isoelectric or at the level of the tracing’s baseline

Answers 01. b. Left arm 02. a. aVR 03. c. V4 04. a. 0 and +90 degrees 05. b. Inferior wall

Answers 01. The answer is: d. Increased aldosterone levels suppress the excretion of renin by the cells of the juxtaglomerular apparatus of the kidney Secretion of aldosterone increases plasma volume and blood pressure.  The rise in blood pressure suppresses the excretion of renin.  If there is a primary hyperaldosteronism, then decreased renin (and subsequent decreased angiotensin II) will not lead to a decrease in aldosterone levels (a very helpful clinical tool in diagnosis of primary hyperaldosteronism). 02. The answer is: a. Spironolactone and Eplerenone.  B. Lisinopril (Zestril) is and ACI and Losartan (Cozaar) is and ARB.  C. Hydrochlorothiazide (Microzide) is a loop diuretic and Chlorthalidone (Thalitone) is a thiazide diuretic.  D. Nifedipine (Procardia) and Amlodipine (Norvasc) are both calcium channel blockers. 03. The answer is: c. Mevacor.  Mevacor (Lovastatin) is used to treat elevated cholesterol.  The others: a. Valsartan (Diovan), b. O

Answers 01. a. Potassium 02. d. Magnesium 03. b. Chloride 04. a. Bicarbonate 05. d. Phosphate

Answers 01. a. Metabolic acidosis 02. c. Respiratory acidosis 03. b. Metabolic alkalosis 04. c. Respiratory alkalosis 05. c. Buffering removes or releasing excess hydrogen ions not carbon dioxide