Save
Busy. Please wait.
Log in with Clever
or
show password
Forgot Password?
Don't have an account?  Sign up 
Sign up using Clever
or
Username is available taken
show password


Make sure to remember your password. If you forget it there is no way for StudyStack to send you a reset link. You would need to create a new account. Your email address is only used to allow you to reset your password. See our Privacy Policy and Terms of Service.

Already a StudyStack user? Log In

Reset Password
Enter the associated with your account, and we'll email you a link to reset your password.
focusNode
Didn't know it?
click below
 
Knew it?
click below
Don't Know
Remaining cards (0)
Know
0:00
edit
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.

  Normal Size     Small Size show me how

T2 possible test ?s

chpt 33, 37, and 38

QuestionAnswer
risk factors for endocarditis IVDA, noscomial bacteremia, prosthetic valves, or pacemaker
s/s endocarditis arthralgia, chills, fever, pain, splinter hemmorhage, Osler's nodes(painful), Janeway lesions (not painful), changes in murmur
endocarditis Dx 3 blood samples from 3 different venipuncure sites
what should you do before you give antbx, or ASA take blood 1st so the results will be accurate
endocarditis tx IV antbx 2-6 weeks, then 4-6 weeks (home health nurse for IV)flu shot, ensure rest, turn cough and breathe Q2H
cause of acute pericarditis cocksackie virus B group & MI
pericarditis nursing intervention have pt sit up and lean forward on pillows/table to relieve pain
rapid shallow breaths d/t pericarditis caused by trying to avoid chest pain
Pericarditis Hallmark finding pericardial frx rub heard over left sternal border-- time the frx rub w/pulse, not RR
Collaboritive care for pericarditis NSAIDS used, not morphine to relieve inflammation + pain, steroids avoided for 10 days, give ANBX w/food & milk, colchesine (for gout/recurrent pericarditis)
acute MI vs pericarditis pain relieved by high fowler's position. Pain located in precordial area
Rhematic fever caused by... complication of delayed sequela of Group A streptococcal pharyngitis- effects heart, joints, skin, & CNS
Rheumatic fever effects all 3 layer of the heart- endocardium, pericardium and myocardium
rheumatic pericarditis effects BOTH layers of pericardium. Serosanguinous pericardial effusion
most common finding in rheumatic fever mono/poly- arthritis in large joints
what is chorea major CNS manifestation, involuntary movement of the face, ataxia, involent
rheumatic heart dz causes what with the heart prolonged PR interval
rheumatic fever complications chronic rheumatic carditis, rheumatic heart dz
rheumatic heart dz is leading cause of mitral valve stenosis, and valve replacement
Health promotion for rheumatic heart disease tx of streptococcal pharyngitis, monthly injections of LA PNCN, rest, teaching on prevention (ANBX), caution w/respiratory secretions
endocarditis #1 teaching handwashing
mitral valve s/s fish mouth
prevention of mitral valve stenosis prevent endocarditis, rheumatic fever, PE, HF, thromboembolism
MEDS FOR MITRAL VALVE STENOSIS DIGOXIN, DIURETICS, DECREASED Na+ diet, BB and anticoagulants
post surgery valve replacement have what checked anticoagulant tx; check INR regularly (2.5-3.5 for mechanical valves)
prevention for rheumatic heart failure handwashing
pt w/mitral valve regurgitation should avoid what caffeine
Aortic valve stenosis is an... obstruction between LV and aorta (LV hypertrophy)
causes of aortic valve stenosis congenital, rheumatic fever
s/s aortic valve stenosis angina, syncope, LV failure
what is contraindicated w/aortic valve stenosis? Nitroglycerine b/c it decreases preload- which is necessary to push blood
valve surgery is... palliative, not curative
valvulotomy is for... pure mitral stenosis
mechanical valves for younger pts, last longer (10yrs),increased risk for thrombus from anticoagulants
biologic valves made from bovine, porcine, & dacron
women of childbearing age recieve biologic valves b/c they cannot take anticoagulants
prosthetic valve replacement requires... lifelong coumadin
plavix and ASA can be taken together for... antiplatelet
most effective for intermittent claudication walking
Ticlid to ASA 1st line oral
synthetic bypasses uses what drugs? anticoagulants, heparin--> followed by coumadin (remember coumadin takes longer)
post valve replacement tx pt should be out of bed and ambulated several times a day
post PAD surgery the pt should avoid knee flexed positions
s/s of acute arterial ischemia include... the six P's
acute arterial ischemic tx IV heparin
drug warning w/anticoagulant tx tell pt to avid NSAIDS/ASA- assess/report excessive bleeding
Buerger's dz teaching complete cessation of tobacco- pt has choice between smoking or limbs- but not both
pseudoaneurysm tear can be d/t cath lab procedures
arterial ulcers and leg position do not elevate, no compression
venous ulcers and leg position elevate w/moist compress
post aortic aneurysm NPO and do NOT remove NGT until pt passess flatulence
right-sided endocarditis is due to IVDA
what's the difference between Janesway lesions and Oslers nodes Oslers nodes are painful
endocarditis causes changes in ____________ murmur
what do u monitor frequently with endocarditis fever
Acute pericarditis is caused by ________ virus. and can be caused by _________. Cocksakie B virus, can be caused by MI
pericarditis hallmark finding frx rub heard over left sternal border- timed w/pulses, not RR
what drug is given for pericarditis? what drug is avoided? NSAIDS (w/food/milk) & colchecine (for recurrent) steroids
what causes acute rheumatic fever? group A streptococcal pharyngitis
meds for mitral valve stenosis digoxin, BB, diuretics, anticoagulants, low Na+ dyet
drug tx for PAD aspirin, plavix, ticlit (antiplatelets), & ACEI
is critical limb ischemia chronis or intermittent? chronic
Thoracic aortic aneurysm S/S DYSPHAGIA(cannot swallow), distended neck veins, edema in bilateral upper extremities, hoarseness, & chest pain which radiates to the back
Abdominal aortic aneurysm bruit, abdominal & back pain, embolism can go down to toe and cause "blue toe"
what don't you do to an abdominal aortic aneurysm palpate the mass
endovascular graft procedure vs conventional graft procedure endovasular is less invasive, good for the elderly
pt education on abdominal aortic aneurysm NO HEAVY LIFTING
anterior aortic rupture complication massive hemmorhage into abdomen, hypovolemic shock w/tachycardia, , plale & clammy skin, hypotension
goal for aortic aneurysm PREVENT RUPTURE
1st measure for post-op aortic aneurysm MAINTAIN adequate blood pressure, monitor graft patency, hydration, diuretics, and HTN meds
antidote for heparin protamine sulfate
antidote for coumadin vitamin k- advise against green, leafy veggies
Created by: arsho453
Popular Nursing sets

 

 



Voices

Use these flashcards to help memorize information. Look at the large card and try to recall what is on the other side. Then click the card to flip it. If you knew the answer, click the green Know box. Otherwise, click the red Don't know box.

When you've placed seven or more cards in the Don't know box, click "retry" to try those cards again.

If you've accidentally put the card in the wrong box, just click on the card to take it out of the box.

You can also use your keyboard to move the cards as follows:

If you are logged in to your account, this website will remember which cards you know and don't know so that they are in the same box the next time you log in.

When you need a break, try one of the other activities listed below the flashcards like Matching, Snowman, or Hungry Bug. Although it may feel like you're playing a game, your brain is still making more connections with the information to help you out.

To see how well you know the information, try the Quiz or Test activity.

Pass complete!
"Know" box contains:
Time elapsed:
Retries:
restart all cards