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OLOL N130 Cardio 4

Quiz yourself by thinking what should be in each of the black spaces below before clicking on it to display the answer.
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Question
Answer
show Arteries  
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show Intima, Media, and Adventitia  
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show Intima  
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show Media  
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What is the outer layer of connective tissue in the walls of the arteries called?   show
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show 5-10 minutes  
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What is the most important factor in regulating the caliber of blood ?   show
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What are potent vasodialators?   show
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What is Arteriosclerosis?   show
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What is the most common disease of the arteries?   show
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What is Atherosclerosis?   show
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What are the nonmodifiable risk factors for Peripheral arterial disease/   show
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What are the Modifiable risk factors for Peripheral Arterrial disease?   show
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Where will you usually see Peripheral Arterial Occlusive disease?   show
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What is Peripheral Arterial Occlusive disease?   show
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What is predominately from aorta below the renal arteries to the popliteal artery   show
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Where is distal occlusive disease frequently seen?>   show
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show aching cramping fatigue or weakness, blockage in the legs, pain usually in the muscle group one joint below level of the occlusion  
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show Intermittent Claudication, coldness or numbness int he extremity, Pallor, diminished or absent pulses, dry shiny skin, loss of hair over toes, nails thick and ridgid  
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What are more serious clinical manisfestations of peripheral arterial disease?   show
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What are characteristics of Ulcers?   show
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Why is a treadmill test done to test for Claudication?   show
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show A radiographic procedure for obtaining an arteriogram. SEE: angiography 2. Description of arteries.  
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show Walking because it increases distance pt can walk without pain- colateral circulation  
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How is Peripheral arterial occlusive diseases medically managed?   show
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show decreased cardiac output  
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show q hour for eight hours, then q 2 hours for 24 hours  
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What should the pt avoid after a peripheral arterial occlusive disease surgery?   show
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What should the nurse interventions be after peripheral arterial occlusive disease surgery? ( vascular grafting, bypass grafts, endarterectomy, embolectomy, amputation)   show
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What is compartment syndrome in Peripheral arterial occlusive disease surgery?   show
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show Buerger's Disease  
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show men between 20 and 35, all races, smokers  
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What are the clinical manisfestations of buergers disease?   show
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show emotional disturbances, nicotine, or chilling  
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show Smoking  
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What is not given in Buergers disease and why?   show
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show amputation  
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show elevate the stump for 24 hrs to promote venous return and decrease edema, monitor for hemotoma, asses fit of elastic bandage(two fingers fit btwn layers of wrap), encourage feelings after loss ( phantom pain limb sensations)  
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What is episodic spasms of the small peripheral arteries and arterioles precipitated by exposure to cold or stress?   show
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show 16 to 40 years  
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show calcium channel blockers procardia, aldalat helps cut down on spasms, relaxes arteries  
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show interrupting the sympathetic nerves, Raynauds disease  
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What should a pt with Raunauds disease avoid?   show
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show dissecting aneurysm  
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Thoracic aortic anerurysms are common in men age   show
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show pulsatile mass in middle and upper abomen, systolic bruit (swishing) heard, 80% can be palpated  
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What would you use to diagnos an abdominal aortic aneurysm?   show
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If an abdominal aortic aneurysm is found and it's small what is done?   show
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show 6cms  
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When is surgery for aneurysms done?   show
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show assess for impending rupture ( severe back pain, or ab pain, lower ab to left midline, low back pressure on lumbar nerves, falling bp and hematocrit, retroperitoneal rupture ( bruising in scrotum perimeum, flank or penis)  
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show Hematomas (brusing) in the scrotom, perineum, flank or penis  
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What should the nurse montitor for in a pt after an aortic aneurysm surgery?   show
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What is a dissecting aorta and what happens?   show
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Where is a dissecting aorta most common?   show
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What are the s & s of a dissecting aorta ?   show
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What might s&s of dissecting aorta be mistaken for?   show
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show CT ultrasound, MRI , arteriogram  
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