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Cardiac 220 review

QuestionAnswer
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
Created by: 4LSUFootball
 

 



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