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Cardiac Challenge I

AB
Signs of dysrhythmiasdyspnea, palpitations, dizziness
vitals needed for orthostatic vital signsBP and HR
Signs of decreased arterial blood flowDecreased hair distribution to an area, thick, brittle nails, dry skin
Place patient this way for checking JVD45-90 degree angle
Two general valve problems leading to murmursProlapse and Stenosis
Clubbing signals thisLong-standing pulmonary condition
Check LV function with this testEcho
Patient is not to have this prior to a persantine stress testAminophylline (it's the antidote for persantine)
Cardiac EnzymesCK, CK-MB, Troponin
therapeutic measures for a cardiac patientExercise, smoking cessation, diet, oxygen, meds, antiembolism devices
Assess for this if the valve is involved in endocarditisnew murmur
treatment for endocarditisATB, antimicrobial's
The heart can't do this well with pericarditisExpand
Typical chest pain with pericarditisIncreases with movement, inspiration, cough, etc
Auscultate for this with pericarditisPericardial friction rub
What causes a pericardial friction rub?Pericardium and epicardium rubbing together due to inflammation
Treatment for pericarditis if too much fluid accumulatesPericardiocentesis
Best medication for pericarditis painNSAIDs
Myocarditis usually follows thisa virus
Be cautious with this med when the patient has myocarditisDigoxin (increased effects with myocarditis)
Symptoms of cardiomyopathy may mimic this disorderCHF
Causes state of icnreased coagulation and increased risk of thrombophlebitisPregnancy, meds like contractptives, some blood disorders


School of Practical Nursing
James Rumsey Technical Institute
Martinsburg, WV

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