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AH I Test 3 Review
| Term | Definition |
|---|---|
| Lab values for DVT | D-dimer ↑; INR 2–3 (warfarin); aPTT 60–80 sec (heparin); Platelets 150–400K |
| Nursing interventions for Raynaud’s | Keep hands warm, avoid cold/caffeine/smoking, stress reduction, calcium channel blockers |
| Why aspirin in cardiovascular disorders | Inhibits platelet aggregation → ↓ MI/stroke risk |
| Signs of DVT | Unilateral calf swelling, redness, warmth, tenderness |
| Signs of PE | Sudden dyspnea, chest pain, tachycardia, low O₂ sat, hemoptysis |
| Signs of valve stenosis | Murmur, dyspnea, fatigue, syncope, HF signs |
| Signs of MI | Chest pain/pressure radiating to jaw/arm, diaphoresis, nausea, SOB |
| Heart sounds | S1 = AV close; S2 = SL close; S3 = HF; S4 = stiff ventricle |
| Risk factors for atherosclerosis | Modifiable: smoking, HTN, DM, obesity; Non-modifiable: age, family history, male sex |
| Signs of PVD | Edema, brown skin discoloration, varicose veins, ankle ulcers |
| Cardiac enzymes | Troponin: specific, stays 7–14d; CK-MB: 2–3d; Myoglobin: early, nonspecific |
| ECG basics | P wave = atria; QRS = ventricles; No P = AFib; ST ↑ = STEMI; ST ↓ = ischemia |
| Heart murmur | Turbulent blood flow across valve; graded 1–6 |
| Irregular pulse in AFib | Irregularly irregular; apical more accurate than radial |
| Priorities for MI | MONA: Morphine, O₂, Nitro, Aspirin; ECG <10 min; reperfusion ASAP |
| Priorities for infective endocarditis | Blood cultures before antibiotics; long IV abx; monitor emboli; oral hygiene |
| Warfarin in AFib | Prevents stroke; INR 2–3; consistent vit K intake; bleeding precautions |
| Interventions for PVD | Compression stockings; elevate legs; walk daily; avoid long sitting/standing |
| Interventions for DVT | Heparin/warfarin; elevate leg; warm compress; NO massage |
| Symptoms of arrhythmias | AFib: irregular fatigue; VT/VF: no pulse; Brady: dizzy; Tachy: palps |
| How to perform ECG | Prep skin, 10 electrodes (limb + chest), patient relaxed |
| Complications of AFib | Stroke, HF, systemic embolism |
| Nitroglycerin teaching | SL q5min ×3; sit down; HA/hypotension common; no Viagra |
| Risk factors for pericarditis | Infection, MI, trauma, autoimmune, radiation |
| Signs of cardiomyopathy | Dyspnea, orthopnea, fatigue, palpitations, chest pain, sudden death risk |
| Causes of endocarditis | Strep/staph, IV drug use, prosthetic valves |
| Causes of pericarditis | Viral, MI, trauma, TB, autoimmune |
| Why of PVD | Valve incompetence → stasis, edema, varicosities, ulcers |
| Risk factors for DVT | Virchow’s triad: stasis, endothelial injury, hypercoagulability |
| MI – Typical Symptoms | Chest pain/pressure, radiates to arm/jaw, sweating, shortness of breath, nausea/vomiting |
| MI – Atypical Symptoms | Epigastric pain, indigestion, fatigue, weakness, dyspnea, anxiety, back pain (common in women, elderly, diabetics) |
| S3 Heart Sound | Also called ventricular gallop; heard after S2; sign of heart failure or fluid overload |
| S4 Heart Sound | Also called atrial gallop; heard before S1; sign of stiff ventricle, hypertension, LV hypertrophy |
| Infective Endocarditis – Priority Finding | Report new or changing heart murmur; also watch for embolic events, heart failure signs |
| Dilated Cardiomyopathy | Ventricles enlarge and weaken; most common; leads to HF |
| Hypertrophic Cardiomyopathy | Ventricular wall thickens; risk of sudden death in young athletes |
| Restrictive Cardiomyopathy | Ventricles stiff and poorly fill; linked to amyloidosis/fibrosis |
| PAD (Peripheral Arterial Disease) | Arterial blockage; pain with walking (intermittent claudication), shiny/hairless skin, weak pulses, ulcers on toes |
| PVD (Peripheral Venous Disease) | Venous pooling; edema, varicose veins, brown discoloration, stasis ulcers near ankles |
| DVT Risk Factors | Immobility, fracture, surgery, pregnancy, OCP/hormone therapy, afib, smoking, obesity, cancer, age |
| Atherosclerosis Risk Factors | Hypertension, high cholesterol, smoking, diabetes, obesity, sedentary lifestyle, family history |