Cardiac 220 review
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| 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
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| Pre-op procedure care for cardiac catherization? | teaching, NPO, Oral sedation, and baseline vital signs, hgb, hct, pedal pulses
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| what is a normal hgb? | Hemoglobin (Normal Range 11.6 - 13.6)
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| What is a normal hct? | Hematocrit (Normal 33% to 39% RBC volume)
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| 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
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| What are possible findings with congenital heart defects? | tachypnea, dyspnea, poor growth, thrill, murmur, cyanosis, CHF, weak pulses, exercise intolerance, and polycythemia
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| Polycythemia, defined as a venous hematocrit (Hct) | (blank)
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| 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.
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| 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
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| Systemic inflammation disease that involves the heart and joints, CNS and connective tissue involvement may also occur | Rheumatic Fever
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| What occurs secondary to an infection by group A beta-hemolytic streptoccoucus | Rheumatic Fever
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| How long does the acute phase of Rheumatic fever last? | 2 to 3 weeks.
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| What is the acute phase of Rheumatic fever characterized by? | inflammation of connective tissues in the heart, joint, and skin
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| In Rheumatic fever the proliferative phase affects primarily | the heart and heart valves
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| What is long term consequences of Rheumatic fever? | valvular damage
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| 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
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| What is clinical thearapy for Rheumatic fever? | bedrest, aspirin, prednisone, monitor cardiac function, and PCN
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| Clubbing of the nailbeds indicates what? | chronic hypoxia
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| What does cool extremites in a warm room indicate? | decreased cardiac output
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| Dyspnea is an indicator of what? | Congestive heart failure
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| Acrocyanosis in the newborn is a normal finding | true
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| in infants, early manisfestation of CHF includes | Resting tachycardia and difficulty feeding
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| Acts on distal renal tubules | Vasodilator
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| Potassium sparing diuretic | Spinonolactone
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| relaxes smooth muscle decreases afterload | Furosemide
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| increases cardiac output, positive inotropic effects | Digoxin
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| potent loop diuretic | Thiazide diuretic
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| In an infant, fluid retention is monitored by | daily weights
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| Polycythermia compensates for | Chronic hypoxia
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