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AH I Test 3 Review

TermDefinition
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
Created by: user-1981480
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