THERAPEUTIC MANAGEMENT

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sojialiu
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121310
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THERAPEUTIC MANAGEMENT
Updated:
2011-12-10 02:25:13
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THERAPEUTIC MANAGEMENT
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THERAPEUTIC MANAGEMENT heart rate
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  1. This is used to open up occluded artery. This involve dilation of the arteries using a balloon catheter to open the vessel lumen and improve arterial blood flow.
    Percutaneous transluminal coronary angioplasty
  2. -----may be prescribed to prevent coronary artery spasm
    nitroglycerin
  3. A laser probe is advanced through a cannula similar to that used for PTCA
    Laser-assisted angioplasty
  4. Used instead of PTCA to eliminate the risk of acute coronary vessel closure and to improve long-term patency of the vessel
    Coronary artery stents
  5. ----------is a major concern follow­ing the procedure of Coronary artery stents. the client is placed on----therapy for several months following the procedure
    • Acute thrombosis
    • antiplatelet and anticoagulation
  6. Removes plaque from an artery by the use of a cutting chamber on the inserted catheter or a rotating blade that pulverizes the plaque
    Atherectomy
  7. Used for clients with widespread atherIosclerosis Involving vessels that are too small and numerous for replacement or balloon catheterization.
    Transmyocardial revascularization
  8. Performed to increase arterial blood flow to the affected limb
    Arterial revascularization
  9. -----is frequently the first indicator of post­operative graft occlusion
    pain
  10. occluded coronary arteries are bypassed with the client's own venous or arterial blood vessels
    Coronary artery bypass graft
  11. Following Cardiac Surgery Limit pushing or pulling activities for
    6 weeks following discharge.
  12. A donor heart from an individual with a compa­rable body weight and ABO compatibility is transplanted into a recipient within less than------of procurement
    6 hours
  13. The transplanted heart is denervated and unre­sponsive to
    vagal stimulation
  14. heart rate that is above 100beat/minute with regular rhythm.
    Sinus Tachycardia-(Atria Tachycardia)
  15. Heart beat less than 60beat/minute, with regular rhythm.
    Sinus Bradycardia-(Atria Bradycardia)
  16. Sinus Bradycardia-(Atria Bradycardia) Can be treated by giving
    anticholinergic medication such as Atropine.
  17. a fast heart rate that originates from the atrium. Atria rate is between 160-200/minute.
    Supraventricular tachycardia
  18. Supraventricular tachycardia Treatment by given
    Diltiazem first then digoxin for maintenance.
  19. a fast heart rate that originates from the ventricle. Heart rate is more than 220.
    Ventricular tachycardia
  20. Ventricular tachycardia must be treated. Given
    lidocane or synchronized, cardioversion
  21. Heart rate is 300-600. This is potentially fatal. No heat beat can be heard because the heart is beating so fast.
    Ventricular fibrillation
  22. -----can be used to terminate supraventricular tachydysrhythmias
    vagal stimulation
  23. The physician instructs the client to bear down or induces a gag reflex in the client both of which stimulate a
    vagal reflex.
  24. Provide an ------ if the gag reflex is stimulated
    emesis basin
  25. a brief procedure where an electrical shock is delivered to the heart to convert an abnormal heart rhythm back to a normal rhythm.
    Cardioversion
  26. is a process in which an electronic device sends an electric shock to the heart to stop an extremely rapid, irregular heartbeat, and restore the normal heart rhythm.
    Defibrillation
  27. Defibrillation should not be performed on a patient who has a -----or is -----
    pulse--- alert
  28. Conductive paddle are placed on the --------. One paddle is placed at the ------ to the right of the sternum; the other is placed at the---------- on the left midaxillary line.
    • chest
    • third intercostal space
    • fifth intercostal space
  29. Stop the ----- during the procedure to avoid the hazard of fire
    oxygen
  30. Used by laypersons and emergency medical technicians for pre-hospital cardiac arrest
    Automatic external defibrillator (AED).
  31. This is a device that is implanted in the body to monitor cardiac rhythm to detects abnormal rhythm and quickly terminate it.
    Implantable cardioverter defibrillator (ICD)
  32. Avoid -------- directly over the ICD, because they can inactivate the device.
    electromagnetic fields
  33. a small device that's placed under the skin of
    the chest or abdomen to help stimulate heart beat and control abnormal heart rhythms.
    A pacemaker
  34. Pacemakers are powered by a----- has an average life span of------, designed to be recharged-----
    • lithium battery
    • 10 years
    • externally
  35. Patient should observe for -----which is an indication that pacemaker is malpositioned and is pacing the -----
    • hiccoughs
    • diagram

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