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Modifiable facors include?
Smoking, diabetes, increased BP, hyperlipidemia,obesity
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Management of dysrhymias are sccomplished by:
medication,(Dr. would prescribe lidocaine)
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Patients with decreased arterial blood flow need to avoid vasoconstriction from:
smoking, caffeine, stress
-
Restful sleep may be possible only in the sitting position or with the aid of extra pillows:
Dorsal Recumbandt
-
Class IV:
Severe heart failure
-
What nursing intervention are appropriate for class IV NYHA?
Bedpan or urinal
-
How do you decrease +4 PE?
Elevate lower extremities
-
How do you decrease s/s of Buerger's dx?
no smoking
-
Complete bed rest includes:
Be in bed, remain quiet with any task done to them quiet, still relaxed
-
Because many patients suffer pulmonary or systemic congestion with HF, the syndrome was once called:
CHF
-
During the acute phase, it is essential to maintain the patient on decreased activity and provide a calm, quiet environment.
Infective endocarditis
-
A holter monitor is attached to the patient by one to fours leads, with a 2 pound tape recorder carried on a belt or shoulder strap.
records and is portable
-
what is infective endocarditis?
Heart murmur, Pettichi, chills, flu
-
What is Orthopnea?
trouble breathing sitting up
-
What is defined as a distended dialated segment of an artery?
Aneurysm
-
Monitor__________ with a possible aortic aneurysm?
BP
-
How do administer NITRO?
Sublingual 1 every 5 minutes, if after 3 and pain persists, go to the hospital.
-
Nursing Innterventions include measures to prevent disease progression and complications for CHF?
Find out why the patient is noncompliant
-
Right sided heart failure?
Distended liver & abdominal distention
-
What is Hypertension and how is it diagnosed?
Ineffective health maintenance r/t disease process
-
What is Angina Pectoris?
Substernal pain that radiates down the left arm
-
what is SGOT & AST, CPK-MB,LDH,Triponin 1?
MI, lab values would be abnormal
-
Increased incidence of Cardiomyopathy is?
Use of Cocaine
-
Pulmonary Edema?
Restlessness, Agitation, disorientation, diaphoresis, dyspnea, tachpnea
-
S/S of Pulmonary Edema?
Pink Frothy Sputum
-
Orthopnea?
Leaning over table in breathing distress
-
Expected findings with Left sided HF?
Orthopnea with bubbling crackles in the lungs
-
Prevention of infection to patient with Endocarditis?
Takes antibiotics as directed, take all until gone, don't drink
-
What is 3rd degree block?
Defect in AV junctions
-
Most important aspect using objective data with evaluating pain for managment of MI?
Patient's Vital Signs
-
Teach about NTG Tabs?
Sit, Slowly stand when getting up, 1 every 5 minutes if pain persist after 3 doses go to the hospital
-
Prevention of Venous Thrombus, Type of Medication?
Low molecular weight Heprin (Lovenox)
-
Thrombectomy?
Prevent flow of Emboli to the lungs
-
What is Orthopnea Position?
Sitting or standing in order to breath comfortably
-
Thromboangitis obliterans?
Same as Buerger's dx, (No Smoking)
-
How do you reduce O2 demand?
Elevate head to 45 degrees (Semifowlers)
-
Rapid infusion of fluids can lead to___________ in older adults?
Heart Failure
-
Edema and Pulmonary congestion are treated with?
Amount of sodium in diet, and amount of fluid intake
-
Modifiable risk factors for CAD?
Weight, Diet, and Exercise
-
Teach Patient with Raynauds dx?
Practice stress reducing techniques and wear gloves when defrosting refrigerator, and No smoking.
-
Teach Patient anticoagulant Therapy?
PTT, PT, IR
-
Explain anticoagulant therapy?
Embolization and clot extention, life threatening, DVT prevents new clots.
-
Teaching to prevent Venous Stasis
Elastic stockings, don't cross legs at knee, don't message lower extremities, and elevate legs.
-
Funtions of Cardiovascular system?
Deliver oxygen and nutrients to cells and remove CO2 and waste products
-
Signs of Digoxin toxicity?
Nausea, Vomiting, anorexia, dysrhythmias, bradycardia, tachycardia,headache, fatigue, and visual disturbances. Always assess apical HR less that 60.
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