CRYSTAL Shared "N231 Exam#3" - 37 Picmonics
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N231 Exam#3
Adenosine (Adenocard)
- Mechanism
- Slows AV Conduction
- Indications
- Supraventricular Tachycardia (Paroxysmal)
- Side Effects
- Bradycardia
- Flushing
- Dyspnea
- Considerations
- Rapid IV Push
- Caffeine and Theophylline Decrease Effectiveness
- Dipyridamole May Intensify Effects
2 mins
Lidocaine
- Mechanism
- Blocks Na+ Channels
- Indications
- Ventricular Arrhythmia
- Anesthetic
- Side Effects
- Paresthesias
- Seizures
- Respiratory Depression
- Drowsiness
- Consideration
- Anesthetic Effects Extended with Epinephrine
1 min
Magnesium Sulfate
- Mechanism
- Muscle Relaxant
- Indications
- Preterm Labor Contractions
- Preeclampsia
- Side Effects
- Warm Feeling
- Hypotension
- Decreased Deep Tendon Reflexes (DTRS)
- Decreased Respiratory Rate
- Decreased Urine Output
- Paralytic Ileus
- Antidote
- Calcium Gluconate
2 mins
Calcium Channel Blockers (Verapamil and Diltiazem)
- Mechanism of Action
- Slows AV Conduction
- Indications
- Angina Pectoris
- Arrhythmias
- Essential Hypertension
- Side Effects
- Bradycardia
- Hypotension
- Constipation
- Peripheral Edema
- Gingival Hyperplasia
- Nursing Consideration
- Medication Education
2 mins
Beta Blockers
- "-olol" suffix
- Mechanism
- Decreases Heart Rate and Contractility
- Decreases Peripheral Vascular Resistance
- Decreases Renin Release
- Indications
- Hypertension
- Heart Failure
- Angina Pectoris
- Contraindications
- Asthma and Heart Block Patients
- Nursing Considerations
- Assess Blood Pressure and Heart Rate
- Masking Signs of Hypoglycemia
- Do Not Stop Abruptly
2 mins
Atropine
- Mechanism of Action
- Muscarinic Antagonist
- Indications
- Bradycardia
- Increased Exocrine Secretions
- Smooth Muscle Spasms
- Side Effects
- Tachycardia
- Dry Mouth
- Urinary Retention
2 mins
Digoxin (Lanoxin)
- Mechanism of Action
- Increases Inotropy
- Indications
- Heart Failure
- Atrial Fibrillation
- Side Effects
- Bradycardia
- Fatigue
- Contraindications
- Heart Block
- Nursing Considerations
- Heart Rate Below 60
- Hypokalemia
- Monitor for Toxicity and Visual Changes
- Digibind
2 mins
Parts of an ECG
- PQRST
- P Wave
- Atrial Depolarization
- QRS Complex
- Ventricular Depolarization
- T Wave
- Ventricular Repolarization
2 mins
ECG Interpretation
- Rate
- Rhythm
- P Waves
- Upright, Rounded, Before Every QRS
- PR Interval (< 0.20 seconds)
- Normal QRS (< 0.12 seconds)
2 mins
ECG: Sinus Bradycardia
- Rate
- < 60 bpm
- Rhythm
- Regular
- P Wave
- Present, Upright, Every QRS
- PR Interval
- < 0.20 seconds
- QRS Interval
- < 0.12 seconds
- Treatment
- Atropine
1 min
ECG: Sinus Tachycardia
- Rate
- > 100 bpm
- Rhythm
- Regular
- P Wave
- Present, Upright, Every QRS
- PR Interval
- < 0.20 seconds
- QRS Interval
- < 0.12 seconds
- Treatment
- Treat Underlying Cause
2 mins
ECG: Atrial Flutter
- Rate
- Variable
- Rhythm
- Regular or Irregular
- P Wave
- Saw Tooth, Multiple Before Every QRS
- PR Interval
- Non-measurable
- QRS Interval
- < 0.12 seconds
2 mins
ECG: Atrial Fibrillation
- Rate
- Variable Rate
- Rhythm
- Irregular Rhythm
- P Wave
- No P Wave
- PR Interval
- No PR Interval
- QRS Interval
- QRS < 0.12 Seconds
1 min
Torsades de Pointes
- Characteristics
- Polymorphic Ventricular Tachycardia
- Prolonged QT Interval
- QRS Twist Around Isoelectric Line
- Causes
- Congenital
- Antibiotics
- Antiarrhythmics
- Antipsychotics
- Antidepressants
- Electrolyte Deficiencies
- Complications
- Ventricular Fibrillation
- Treatment
- Stable: Magnesium Sulfate
- Unstable: Defibrillation
3 mins
Age 2 Months - Developmental Milestones
- Gross Motor
- Holds Head Up, But Unsteady
- Moves Both Arms and Both Legs
- Fine Motor
- Opens Hands Briefly
- Tracks Objects to the Midline
- Language/Communication
- Produces Sounds Aside from Crying
- Reacts to Loud Noise
- Social / Cognitive
- Social Smile
- Recognizes Parents
- Soothed When Spoken to or Picked Up
2 mins
Age 4 Months - Developmental Milestones
- Gross Motor
- Keeps Head Steady Without Support
- Pushes Up on Elbows While on Tummy
- Fine Motor
- Holds a Toy in Hands
- Moves Hands Towards Mouth
- Language/Communication
- Cooing
- Turns to Voice
- Social / Cognitive
- Chuckles
- Enjoys Looking Around
- Looks at Hands With Interest
- Opens Mouth When Hungry
2 mins
Age 6 Months - Developmental Milestones
- Gross Motor
- Sits Propped Up On Hands
- Rolls
- Fine Motor
- Raking Grasp
- Language/Communication
- Makes Squealing Noises
- Blows "Raspberries"
- Turn-Taking in Sounds
- Social / Cognitive
- Laughs
- Enjoys Looking at Self in a Mirror
- Recognizes Familiar People
- Closes Lips to Signal Fullness
- Puts Objects in Mouth
- Reaches for Desired Toys
2 mins
Age 9 Months - Developmental Milestones
- Gross Motor
- Sits Up Independently
- Fine Motor
- Transfers Objects Between Hands
- Uses Fingers to Pull Food Toward Self
- Language/Communication
- Produces Various Sounds Like "mamamama" and "bababababa"
- Raises Arms to be Lifted Up
- Social / Cognitive
- Separation Anxiety
- Shows Facial Expressions
- Looks When Calling Name
- Smiles or Laughs at Peek-a-boo
- Looks for Dropped Objects Out of Sight
- Bangs Two Items Together
2 mins
Age 1 Year - Developmental Milestones
- Gross Motor
- Pulls Up to Stand
- First Steps
- Fine Motor
- Drinks From an Open Cup with Assistance
- Two-Finger Pincer Grasp
- Language/Communication
- Understands “No”
- Waves "Bye-Bye"
- "Mama & Dada"
- Social / Cognitive
- Plays Pat-A-Cake
- Puts Block in Cup
- Searches for Hidden Toys
2 mins
Age 18 Months - Developmental Milestones
- Gross Motor
- Walks Independently
- Climbs On/Off Furniture Without Help
- Fine Motor
- Drinks from Open Cup Independently
- Scribbles
- Eats with Fingers
- Tries to Use a Spoon
- Stacks Three Blocks
- Language/Communication
- Attempts Three-word Phrases
- Follows One-step Commands
- Social / Cognitive
- Checks While Moving Away
- Points to Objects
- Engages With Toys Simply
- Copies Parent Doing Chores
- Extends Hands for Washing
2 mins
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