OLOL N130 Cardio 4
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| show | Arteries
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| show | Intima, Media, and Adventitia
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| show | Intima
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| show | Media
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| What is the outer layer of connective tissue in the walls of the arteries called? | show 🗑
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| If an artery is punctured for and ABG, how long should the nurse hold pressure? | show 🗑
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| What is the most important factor in regulating the caliber of blood ? | show 🗑
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| show | histamine, bradykinin, prostaglandin, and certain muscle metabolites
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| What is Arteriosclerosis? | show 🗑
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| show | Arteriosclerosis
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| What is Atherosclerosis? | show 🗑
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| show | Age, gender, familial predisposition
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| show | Nicotine, diet-high fat, hypertension, diabetes, stress, sedentary lifestyle, obesity
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| Where will you usually see Peripheral Arterial Occlusive disease? | show 🗑
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| What is Peripheral Arterial Occlusive disease? | show 🗑
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| What is predominately from aorta below the renal arteries to the popliteal artery | show 🗑
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| Where is distal occlusive disease frequently seen?> | show 🗑
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| What is intermittent claudification? | show 🗑
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| show | Intermittent Claudication, coldness or numbness int he extremity, Pallor, diminished or absent pulses, dry shiny skin, loss of hair over toes, nails thick and ridgid
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| What are more serious clinical manisfestations of peripheral arterial disease? | show 🗑
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| What are characteristics of Ulcers? | show 🗑
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| Why is a treadmill test done to test for Claudication? | show 🗑
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| What is an arteriography? | show 🗑
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| What exercise is recommended for pt's with Peripheral Arterial occlusive disease? | show 🗑
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| show | Exercise, weight reduction, stop smoking, antiplatelet meds, surgical management
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| Decreased UOP equals | show 🗑
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| show | q hour for eight hours, then q 2 hours for 24 hours
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| What should the pt avoid after a peripheral arterial occlusive disease surgery? | show 🗑
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| What should the nurse interventions be after peripheral arterial occlusive disease surgery? ( vascular grafting, bypass grafts, endarterectomy, embolectomy, amputation) | show 🗑
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| show | severe edema, pain, decreased sensation of toes and fingers
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| show | Buerger's Disease
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| What people are at high risk for Buerger's disease? | show 🗑
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| show | Pain, foot cramps ( esp. in the arch) after exercise Pain is relieved by rest, intense rubor of the foot, absence of pedal pulse, as disease progresses, defined redness or cyanosis of the part in dependant position, bilateral and uilateral, ulcers, gangr
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| In buergers disease, what is buring pain aggravated by> | show 🗑
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| Symptoms of Buergers disease are usually relieved by stopping what? | show 🗑
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| show | Vasodialators because it diverts blood from occluded vessels
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| show | amputation
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| After a pt. has an amputation, what are the nursing care guidelines? | show 🗑
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| show | Raynauds disease
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| show | 16 to 40 years
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| show | calcium channel blockers procardia, aldalat helps cut down on spasms, relaxes arteries
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| What is sypathectomy and what is it used for? | show 🗑
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| What should a pt with Raunauds disease avoid? | show 🗑
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| Thoracic aortic aneurysm are most common site for | show 🗑
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| show | between 40 nd 70 years old
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| show | pulsatile mass in middle and upper abomen, systolic bruit (swishing) heard, 80% can be palpated
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| show | Ultrasounds, CT
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| show | follow up q 6 months til reach a size to repair ( may be stable over years)
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| show | 6cms
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| When is surgery for aneurysms done? | show 🗑
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| show | assess for impending rupture ( severe back pain, or ab pain, lower ab to left midline, low back pressure on lumbar nerves, falling bp and hematocrit, retroperitoneal rupture ( bruising in scrotum perimeum, flank or penis)
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| What is retroperitoneal rupture? | show 🗑
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| show | Intense monitoring of pulmonary, cardiovascular, renal, and neurologic status, possible complications with arterial occlusion, hermorrhage, infection, ischemic bowel , renal failure and impotence
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| show | rupture in the intaimal layer .. as separation progresses, the arteries branching from the involved area of the aorta shear and occlude.
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| show | In the aortic arch
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| show | usually sudden, severe, persistant pain, (described as tearing or ripping) pain in area of anterior chest or back and extends to shoulders, epigastric areas or ab. pallor sweating, tachy, possible BP difference in arms
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| show | an Myocardial Infarction
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| What test are done to diagnos a dissecting aorta | show 🗑
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