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Cardiac 220 review
| Question | Answer |
|---|---|
| Cardiac catherization measures | oxygen levels and pressure in each chamber, it identifies anatomic alterations, and examines heart by placing a catherter into an artery or vein and advancing to the heart |
| Pre-op procedure care for cardiac catherization? | teaching, NPO, Oral sedation, and baseline vital signs, hgb, hct, pedal pulses |
| what is a normal hgb? | Hemoglobin (Normal Range 11.6 - 13.6) |
| What is a normal hct? | Hematocrit (Normal 33% to 39% RBC volume) |
| What is post procedure care for a cardiac catherization? | monitor for bleeding, maintain direct pressure to insertion site for 15 minutes and pressue dressing for six hours, vital signs, neuro checks routine post-op, bedrest 6 hours, monitor for arrhythmias, assess insertion site, and assess pedal pulses |
| What are possible findings with congenital heart defects? | tachypnea, dyspnea, poor growth, thrill, murmur, cyanosis, CHF, weak pulses, exercise intolerance, and polycythemia |
| Polycythemia, defined as a venous hematocrit (Hct) | (blank) |
| Genearl nursing care for pts with congenital heart defects | monitor H & H electrolytes, limit activity, cluster care, daily weight, I &O, note edema, Meds.- digoxin, lasix, and oxygen. |
| What are the signs of dig toxicity? | Bradycardia (less than 100 bpm in young child, less than 80 bpm in older child, less than 60 bpm in teens, arrhythmias, dizziness, headache, weakness, fatigue |
| Systemic inflammation disease that involves the heart and joints, CNS and connective tissue involvement may also occur | Rheumatic Fever |
| What occurs secondary to an infection by group A beta-hemolytic streptoccoucus | Rheumatic Fever |
| How long does the acute phase of Rheumatic fever last? | 2 to 3 weeks. |
| What is the acute phase of Rheumatic fever characterized by? | inflammation of connective tissues in the heart, joint, and skin |
| In Rheumatic fever the proliferative phase affects primarily | the heart and heart valves |
| What is long term consequences of Rheumatic fever? | valvular damage |
| What do you see when assessing Rheumatic Fever? | multiple joint involvement, carditis, chorea, erythema marginatum (rash), subcutaneous modules, fever, arthralgia, elevated ESR and Creative protein |
| What is clinical thearapy for Rheumatic fever? | bedrest, aspirin, prednisone, monitor cardiac function, and PCN |
| Clubbing of the nailbeds indicates what? | chronic hypoxia |
| What does cool extremites in a warm room indicate? | decreased cardiac output |
| Dyspnea is an indicator of what? | Congestive heart failure |
| Acrocyanosis in the newborn is a normal finding | true |
| in infants, early manisfestation of CHF includes | Resting tachycardia and difficulty feeding |
| Acts on distal renal tubules | Vasodilator |
| Potassium sparing diuretic | Spinonolactone |
| relaxes smooth muscle decreases afterload | Furosemide |
| increases cardiac output, positive inotropic effects | Digoxin |
| potent loop diuretic | Thiazide diuretic |
| In an infant, fluid retention is monitored by | daily weights |
| Polycythermia compensates for | Chronic hypoxia |