Cardiac
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| show | Fatigue, Fluid Retention, Irregular Heartbeat, Dyspnea, Pain, Tenderness in calf of leg, Syncope, near syncope, Altered neurologic function, Leg pain
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| What drug prolongs the blood clotting time | show 🗑
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| Some major cardiovascular risk factors | show 🗑
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| Family history of what non-cardiac conditions should be assessed? | show 🗑
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| show | Can they buckle their pants, are they leaving them unbuttoned?
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| Diabetic pt. may not experience pain as intensely due to __________ ? | show 🗑
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| Some non-modifiable risk factors for CAD | show 🗑
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| show | Hyperlipidemia, HTN, Smoking, DM, Obesity, Physical inactivity, Type A personality (hostility), Use of oral contraceptives
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| show | Z pattern
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| show | 5 IC space left of the midclavicular line
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| Vein distention beyond 45 degrees is considered what? | show 🗑
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| Some other signs and symptoms you may see with JVD are? | show 🗑
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| show | Tricuspid and Mitral
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| show | Pulmonic and Aortic
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| show | S3
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| show | CAD, HTN and Aortic valve stenosis
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| Paradoxical Pulse - the pulse becomes ________ as one inhales and ________ as one exhales. | show 🗑
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| Percardial Friction Rubs are heard best how? | show 🗑
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| show | Vascular Bruits (listen with the bell)
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| Cardiac Stress Tests evaluate for? | show 🗑
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| If pt cannot walk on a treadmill what drug is given to complete a cardiac stress test? | show 🗑
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| show | Obtain written consent, NPO (if using dobutamine), no caffeine, smoking or alcohol, comfy clothes, rubber-soled shoes (if walking)
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| Thallium and Sestamibi or Cardiolite are? | show 🗑
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| show | Detect myocardial ischemia and infarction and assess left ventricular function
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| show | IV (at least a 20G IV site)
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| Thallium only crosses into what? | show 🗑
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| When is Thallium injected for a cardiac stress test? | show 🗑
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| Areas of the heart that do not show thallium uptake may mean what? | show 🗑
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| show | Before each exam due to it having a short half life.
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| show | An echocardiogram
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| show | Multiple Gated Acquisition (MUGA)
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| show | 55-65%
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| show | Positron Emission Tomographic (PET)
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| show | Positron Emission Tomographic (PET)
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| show | Drink fluids to eliminate contrast, monitor BP and pulse, continuous ECG monitoring
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| A cardiac catheterization is performed if what test is positive? | show 🗑
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| show | Obtain written consent, assess for allergies to shellfish, keep pt. NPO 6-8 hrs, initiate and maintain IV site patency, Administer fluids per MD order/protocol, explain procedure to pt
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| Post procedure for cardiac catheterization includes? | show 🗑
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| show | Holter monitoring
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| show | delivers 3-5ml of solution per hour to prevent clotting or backflow of blood into the system
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| show | 300mmHg
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| show | Transducer
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| show | 0-8 mmHg
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| show | Central Venous Pressure Monitoring
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| An increased CVP > 8mmHg may be due to what? | show 🗑
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| show | xray
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| show | Infection and air embolism
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| Normal systolic/diastolic pressures in the pulmonary artery is? | show 🗑
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| Normal pulmonary capillary wedge pressure is | show 🗑
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| Pulmonary artery pressure monitoring is usually done on clients with? | show 🗑
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| What test checks collateral circulation? | show 🗑
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| show | Aggrastat and Integrilin (both used with heparin)
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| show | Femoral Artery
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| Medications post-stent | show 🗑
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| show | Lifetime, 80mg/day
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| show | Bleeding at IV site and urine
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| Bleeding in the pericardial sac or fluid accum. in sac is? | show 🗑
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| show | Levophed and dopamine
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| What meds lower the volume returing to the heart, decrease BP and cardiac work? | show 🗑
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| Two positive inotropic meds (increase cardiac contractility) | show 🗑
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| First letter of a pacemaker identifies what? | show 🗑
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| show | the chamber being sensed by the pacemaker
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| show | the response by the pacemaker to what is sensed
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| show | Viral
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| What shows s&s of substernal or pain beneath clavicle, radiating to neck, friction rub, fever, malaise and dyspnea | show 🗑
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| show | with diaphragm of stethoscope when client holds their breath
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| show | ST & T wave elevations followed by inverted T waves when ST returns to baseline
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| S&S of chronic pericarditis? | show 🗑
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| show | treat the cause, assess & manage pain, monitor SO2 administer O2
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| Medication management for pericarditis | show 🗑
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| What needs to be monitored during steroid therapy | show 🗑
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| S&S of pericarditis with Effusion | show 🗑
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| show | BP lowest in inspiration with pulse commonly not palpable
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| What are Kussmaul's signs | show 🗑
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| show | a condition where permanent damage to heart valves is caused from rheumatic fever
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| How does rheumatic heart disease usually begin | show 🗑
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| show | pericardial aspiration (pericardiocentesis)
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| Persistent inflammation in the valves and endocardium with rheumatic heart disease puts a patient at risk for | show 🗑
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| S&S of rheumatic heart disease | show 🗑
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| best treatment for rheumatic heart disease | show 🗑
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| Treatment for rheumatic heart disease once inflammation has developed | show 🗑
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| show | inflammation of the inner layer of the heart, caused by microorganisms in the blood
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| show | splinter hemorrhages in nail beds
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| treatment for endocarditis | show 🗑
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| Teaching for endocarditis | show 🗑
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| Cardiac serem markers? | show 🗑
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| CK-MB normals | show 🗑
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| Myoglobin normals | show 🗑
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| Troponin I | show 🗑
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