-
Decrease blood volume can lead to an elevated 1.can result from 2
- hematocrit value
- vascular volume depletion.
-
Decreases in hematocrit and hemoglobin values can indicate
anemia
-
Low potassium (Hypokalemia) causes increased
abnormal heart electrical impulses
-
Hypokalemia can be detected through-----reading that show flattening and inversion of the----
-
Phosphorus levels should be interpreted with
calcium levels
-
Blood urea nitrogen (BUN): and creatinine level is used to
detect the effect of heart disease on the kidney.
-
The BUN level is elevated in
heart disorders that adversely affect renal circulation
-
Sedimentation rate (ESR): Nonspecific test indicating
inflammatory response somewhere in the body.
-
Clients with low HDL and high LDL levels are at high risk for
coronary artery disease and myocardial infarction.
-
-----is required for synthesis of prothrombin
Vitamin K
-
Partial Thromboplastin Time (PTT)- Normal:
60-70 seconds
-
The level of prothrombin can be used to monitor the response of patient on anticoagulant therapy specifically
warfarin (Coumadin)therapy.
-
Partial Thromboplastin Time (PTT)- Normal: 60-70 seconds Can be used to detect deficiencies in all clotting factors except VII and XIII hence can be used to monitor
heparin dosage
-
Coagulation Time (Lee White Clotting Time)-
Normal:----------Can also be used to monitor-----
- 5-15 minutes.
- heparin therapy.
-
enzymes are released from the damage cells and they include-
CPK, LDH, AST (SGOT); and Troponin
-
Serum lipids Before the test client must be
fasting
-
-
CKP-MM is from the
muscles
-
-
CKP-MB is the specific lab test Normal value
Male: 55-170 U/ml ; Female: 30-135 U/L
-
When the LDH I becomes higher than the LDH II, an----has occurred and is diagnostic of an----
-
LDH Normal value in conventional units is
140 to 280 international units/L.
-
a myocardial muscle protein released into circulation
after heart injury.
Troponin I and Troponin T
-
Troponin I and Troponin T Normal level is
< 1.0ng/mL.
-
An oxygen-binding protein found in cardiac and skeletal muscle.
Myoglobin
-
Remove jewelry or any metal object on the way of
x-ray
-
diagnostic test that evaluates the heart's function by recording electrical activity.
Electrocardiography (ECG)
-
Evaluates efficiency of the heart during exercise such as bike riding or treadmill walking.
Exercise EKG (stress test
-
During stress EKG Coffee, cigarettes , caffeine, alcohol and theophylline products are held for---before the test and calcium channel blockers and beta blockers may be held for---
- 12 hours
- 24 hours per physician's order
-
Post-procedure care for stress EKG If performed on an
outpatient basis, the client should
not leave the premises until the physician has interpreted the results.
-
Post-procedure care for stress EKG Instruct the client
to avoid
avoid taking a hot bath or shower for at least 1 to 2 hours.
-
It is a portable equipment which the client can carry around. It is used to monitor dysrhythmias
Holter monitoring
-
The client will wear the Holter monitoring for the prescribed length of time and should not get the recorder----or----
wet or have x-rays
-
A non-invasive ultrasound of the heart used to examine the heart and provides information about the position, size, and movements of the valves and chambers.
Echocardiogram
-
it is a dye can help outline blood flow in the heart.
Thallium Imaging
-
hot spot” this is the
normal area.
-
Pre-test For stress imaging No alcohol, tobacco, Coffee, caffeine for---before test.---after midnight----may be allowed 3 hours before the test.
-
Pre-test For stress imaging Instruct the Pt will he will receive a-----IV
radioactive tracer
-
For Resting Imaging: Pt receives an injection of-----IV within the first few hours of MI symptoms
thallium
-
Combines x-ray techniques and a computerized subtraction technique with fluoroscopy for visualization of the cardiovascular system.
Digital subtraction angiography/Arteriography
-
The nurse should assess the client for allergy to contrast medium (dye) which are
iodine, or seafood or shell fish
-
asssit pt to flush the dye by
Force fluid
-
Involves insertion of a catheter into the heart and surrounding vessels.
Cardiac catheterization
-
inorder to prevent bleeding during a Cardiac catheterization pt should Discontinue-----therapy few days before test to prevent risk of bleeding.
anticoagulant therapy
-
inoder to prevent vormiting or aspiration in a Cardiac catheterization pt should----
Withhold solid food for 6 to 8 hours and liquids for 4 hours
-
during Cardiac catheterization client may feel a particular taste---and may feel----when dye is injected.
-
Document the client's height and weight, because these data will be needed to determine---------during Cardiac catheterization
the amount of dye to be administered
-
during cardiac cartherization Locate the position of---and mark them
distal pulses
-
least every 30 minutes for 2 hours initially afer cardic catherization what should be monitored for
- Monitor vital signs and cardiac rhythm
- peripheral pulses and the color warmth, and sensation of the extremity distal to the insertion site
-
Post-procedure intrvrntion after Cardiac catheterization to prevent arterial occlusion
Keep extremity extended for 4 to 6 hours
-
after acardic carterization if the antecubital
vessel was used----
immobilize the arm with an arm board
-
Catheter inserted in right atrium to determine fluid balance.
Central venous pressure
-
Central venous pressure Normal value
5-10cm
-
A flow-directed, balloon-tipped, four- lumen catheter allowing for right heart catheterization at the bedside
Swan Ganz Catheter
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