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Cardio
LPN
| Question | Answer |
|---|---|
| What foods should be monitored carefully for the patient on coumadin? | Those high in vit K: green leafy vegetables |
| Why are pts with DVT on bedrest? | Prevent release of clot into blood stream |
| What is cardioversion? | A synschronized electrical current is delivered to the heart to restore to a normal rhythm. |
| What are some signs that a pacemaker battery is wearing down? | Vertigo and bradychardia |
| What symptom when observing the hands might you find in a pt with chronic coronary disease? | Clubbed fingers |
| Pts with mitral valve disease are at higher risk for what? | Endocarditis |
| When caring for a pt to receive a cardiac cath, what specific food allergy should be checked for? | Shellfish |
| If a pt receives a cardiac cath via the femoral artery, how should that leg be positioned post op? | Extended |
| What might indicate a blood clot distal to the insertion site of a cardiac cath? | Absent peripheral pulses |
| What is different about pain associated with angina? | It generally accompanies exertion |
| What is the etiology of angina? | Decrease in oxygen availability |
| What is intermittent claudication? | Decreased blood flow during exercise causing pain. Is usually in legs. Symptom of PAD. |
| What is Raynaud's? | Vasospasm and pain in fingers and toes when exposed to cold. |
| What is a common complaint following Nitro administration? | Headache |
| Fluid in the lungs is associated with what type of heart failure? | Left-sided |
| What orders may a nurse anticipate for a pt with CHF? | Bedrest, fluid restriction, incentive spirometer, high cal diet, semi-fowler's position, lasix |
| What is a common immediate complication of an MI? | Cardiogenic shock |
| Common symptom for MI? | Vise-like pain in sternum |
| What would be the benefit of a soft diet immediately after an MI? | Allow for easy digestion to rest the heart |
| What enzymes would be released by the heart after damage caused by MI? | CPK, CK |
| What proteins are released by heart due to damage from MI? | Troponin |
| CP relieved by morphine rather than nitro is indicative of what? | An MI |
| LS associated with heart failure | Rales |
| Rheumatic fever may cause what cardiac complication? | Heart murmur |
| Normal CVP | 4-10cm |
| Know cardiac uses, SE's, actions and risks of drugs | Aldactone, cardiac glycosides(digoxin), morphine, nitro,beta blockers, ACE inhibitors,HCTZ, lidocaine, streptokinase, niacin, Epi,coumadin |
| In treating Raynaud's, what will Vasodilan achieve? | Causes vasodilation and increases blood flow to hands and feet. |
| How is nitro administered? | Take BP and pain rating, give 1 dose. reassess BP and pain after 5 minutes. may give two more doses, assessing BP and pain after each. If no relief after 3, call doctor. |
| How does nitro help angina? | Dilates coronary arteries |
| What is a common risk with diuretics? | Potassium loss |
| What can a disturbance of K+ level cause? | Arrhythmias |
| What meds are likely to be given for V-tach? | Amiodarone or lidocaine |
| What kind of med is streptokinase? | A clot buster |
| What is niacin used for in the cardiac pt? | Reduces cholesterol |
| How can beta blockers be useful in treating angina? | Diltae coronary arteries improving blood flow and O2. |
| What type of med will a pt with A-fib always be required to take? | Anti-coagulant, usually coumadin. |
| What med is used for asystole? | Epinephrine |
Created by:
shocklori
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