Wow, I almost had a stroke when you said there was a time heart attacks were diagnosed without cardiac enzyme LOL. Reminds me of the time my mother, who was an old school nurse told me they used to give bed bath Without gloves
Systolic heart failure is determined by EF. 60-65% of the volume that fills the heart during relaxation is ejected at the end of systole. 100% would mean the ventricle squeezed every drop out. Diastolic heart failure is from ventricular concentric enlargement. So you may have a EF% of 65% but it is 65% of less volume. Because it enlarged inward from years of over use it now may only hold 80ml at rest instead of 130ml. 65% of 130 is 84.5ml. 65% of 80 is 52ml. So EF is normal but you have all the signs symptoms of heart failure in diastolic heart failure because you have less fill at the end of diastole. Systolic is lots of fill but small heart attacks, a big one, or dilation over the years has made your pump weak and floppy. It just can’t push well. BNP is “natriuretic”. It cause “Natriuresis”. A natural diuretic to get rid of excess sodium hence water. It also causes vasodilation. It is not an inotrope. Allen’s test is having the patient make a fist if possible after locating the ulnar and radial artery. Compress both and have the patient open their hand. Keep pressure on both ulnar and radial arteries. Release pressure on the ulnar artery and the color should return to the hand in about 7 seconds or less. This lets you know the ulnar artery is sufficient to handle circulation if the radial artery forms a clot or is damaged. You just need to know if you hurt the radial artery the ulnar can handle providing flow. Finer points that won’t matter much but can help you visualize or intuitively think through it better. I love the videos!!! They get the job done effectively and fast. Just adding to the convo.
Hey congrats on passing your CEN! I’m studying for it, and I just came across his videos! Did you say that it helped you. I read somewhere that it might need updates. Can you please tell more about how you studied 🙏🏾🙏🏾🙏🏾
This is such an excellent video! Well organized and super informative. My test is in 5 days and I've been struggling with cardiac on my practice exams. This is really helping!
Let's say you have ST elevation in leads V1 and V4, then you would consider that an anterior MI correct? So my question is, if you have ST elevation in leads V1 and V2, would you call that anterior and septal? Or septal? or just anterior?
Hi Adam. Yes, not much has changed clinically over the years. Preload is still preload, an inferior MI is still II, III, Avf.... a dissection is still "ripping or tearing" pain in to the back. That being said ACLS has changed of course. As such, I do not go into ACLS in my review classes/lectures as that is something candidates get elsewhere (AHA) and should have updated regularly. I hope this answers your question! Best of luck!
Good day I listen to your videos on you tube 1week before my exams and wish I had long before it was helpful but I failed I got 89 so I took a break and need your material to study for my retake
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I just passed my CEN this morning with a 137/150 from watching your videos. You are the REAL MVP!
Nice work!
My favorite thing is when you say “we’re not chasing zebras in the desert” you say it at least once a video lol
so true!
Passed this morning. 132/150. Thanks for your classes and videos.
Such a great review, I love your videos. Thank you for posting all of them!
You are welcome!
Thank you for these videos! I passed the CEN today using only these videos. Thank you!
Bayer Meadows
Great information, well organized, and clearly explained. Thank you for making this available.
You are very welcome! I will be uploading and updating more in the future!
thank you so much for taking your time and explaining everything in such easy to understand ways!
It’s MY pleasure! YOUR success is MY success!
Wow, I almost had a stroke when you said there was a time heart attacks were diagnosed without cardiac enzyme LOL. Reminds me of the time my mother, who was an old school nurse told me they used to give bed bath Without gloves
Systolic heart failure is determined by EF. 60-65% of the volume that fills the heart during relaxation is ejected at the end of systole. 100% would mean the ventricle squeezed every drop out. Diastolic heart failure is from ventricular concentric enlargement. So you may have a EF% of 65% but it is 65% of less volume. Because it enlarged inward from years of over use it now may only hold 80ml at rest instead of 130ml. 65% of 130 is 84.5ml. 65% of 80 is 52ml. So EF is normal but you have all the signs symptoms of heart failure in diastolic heart failure because you have less fill at the end of diastole. Systolic is lots of fill but small heart attacks, a big one, or dilation over the years has made your pump weak and floppy. It just can’t push well. BNP is “natriuretic”. It cause “Natriuresis”. A natural diuretic to get rid of excess sodium hence water. It also causes vasodilation. It is not an inotrope. Allen’s test is having the patient make a fist if possible after locating the ulnar and radial artery. Compress both and have the patient open their hand. Keep pressure on both ulnar and radial arteries. Release pressure on the ulnar artery and the color should return to the hand in about 7 seconds or less. This lets you know the ulnar artery is sufficient to handle circulation if the radial artery forms a clot or is damaged. You just need to know if you hurt the radial artery the ulnar can handle providing flow. Finer points that won’t matter much but can help you visualize or intuitively think through it better. I love the videos!!! They get the job done effectively and fast. Just adding to the convo.
wow ....this video was so thorough. a lot of info and knowledge to digest. HOpefully it can help me pass the exam! Thank you kindly for p osting it!
Just passed the CEN tonight! Thank you for posting these videos! You and the practice tests helped me pass 😄
Hey congrats on passing your CEN! I’m studying for it, and I just came across his videos! Did you say that it helped you. I read somewhere that it might need updates. Can you please tell more about how you studied 🙏🏾🙏🏾🙏🏾
Thank you so much for this, I finally understand the EKG better now. My exam is in few days.
Be SURE to watch THIS video for some last minute helps! ruclips.net/video/N95oN-KSS78/видео.html
thank you for investing your time to help other nurses. :)
So nice of you
Love your reviews….they are amazing…do you have a Video that focus on questions ie: how they are asked how to break them down etc
This is such an excellent video! Well organized and super informative. My test is in 5 days and I've been struggling with cardiac on my practice exams. This is really helping!
This is the BEST review, thank you SO much!!!
You're welcome!!!!!
Let's say you have ST elevation in leads V1 and V4, then you would consider that an anterior MI correct? So my question is, if you have ST elevation in leads V1 and V2, would you call that anterior and septal? Or septal? or just anterior?
Anterior would be 2 or more leads with ST elevation in V1 THROUGH V4. Yes, if V1 and V2 were also affected I'd call it antero-septal. Good question!
Thank you, very helpful review!
You're welcome!
Truly enjoyed this teaching and content
Passed my CEN today! Just wanted to say thanks.
Is this info still pretty up to date as far as test content?
Hi Adam. Yes, not much has changed clinically over the years. Preload is still preload, an inferior MI is still II, III, Avf.... a dissection is still "ripping or tearing" pain in to the back. That being said ACLS has changed of course. As such, I do not go into ACLS in my review classes/lectures as that is something candidates get elsewhere (AHA) and should have updated regularly. I hope this answers your question! Best of luck!
Where can i find/purchase your notes
www.PassTheCEN.com
Good day I listen to your videos on you tube 1week before my exams and wish I had long before it was helpful but I failed I got 89 so I took a break and need your material to study for my retake