med surg

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Author:
cassiekay10
ID:
227711
Filename:
med surg
Updated:
2013-07-21 00:50:34
Tags:
cardio2
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cardio2
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  1. pressure points
    • arm - inner brachial
    • leg - femoral groin
  2. intermittent claudication
    pain, legs, arteries
  3. renauds disease
    hands - digital arteries
  4. renauds disease triggered by
    cold weather
  5. arterial thrombosis
    • clot artery 
    • no distal pulse
  6. venous thrombosis 
    hands
    • cold
    • keep low
  7. venous thrombosis
    hand
    • warm/red extremities
    • pain when held low
  8. common leg vein clots
    • saphenous vein
    • vericose veisn
  9. surgery vericose veins
    • ambulate early
    • stimulate circulation
  10. disecting aneurysms
    • inner layer vessel tear
    • collection of bld bw layers
  11. tx aneurysms
    • bipass
    • clipped off
  12. MI
    occlusion of coronary arteries
  13. MI process
    • touchy time frame
    • onset 3rd day
    • dysrythmias
  14. MI vs angina
    • angina goes away
    • mi severe and longer
  15. thrombolytic agents
    dissolve clot in coronary art to reduce mi effects
  16. valsalva manuever
    • vagus response
    • MI pts dangerous
    • hr↓
    • bradycardia
  17. dysrythmias
    • ↓cardiac output
    • ↓coronary art bld flow
    • ↑o2 need
  18. electrical impulses
    • start at sa node - normal
    • pt w bradycardia & pacemaker - less than 60
    • tachy over 100
  19. atrial fib
    • atrium quiver 
    • rapid atrial activity
  20. complete heart block
    atrial and vent function wo relation to the other
  21. PVC
    no P wave before!
  22. PVC occurance leading to serious event
    when have mult pvcs in a row
  23. leg dressing
    uniboot
    cold mottled toes = too tight
  24. preventing a fib
    baby aspirin
  25. thrombolytics
    watch for
    bleeding
  26. electrocardio version
    • awake but sedated
    • rapid dysrythmias
  27. v fib treatment
    • shock
    • defibrilate
  28. beurger's disease
    stop
    smoking
  29. renauds 
    must dos
    stop smoking, clothed wel, no stress
  30. pt risk for aortic aneurysm
    • monitor bp
    • if ruptured = bp decr
  31. stable vs unstable
    • with rest goes away
    • unstable doesnt
  32. ekg myocardia injury
    st elevation
  33. triponin
    specific marker for mi
  34. fibrin elytics
    dissolve clot
  35. pt cardiac output prob
    br priveledges
    10 beats incr after potty okay
  36. angina tx
    • sublingual nitro up to 3 tab q 5 minutes
    • if pain not relieved seek help
  37. atropine
    bradycardia 30s and 40s example
  38. digoxin
    • a fib
    • hold less than 60
    • risk for blood clots = teaching
  39. lidocaine
    heart pvc runs - iv
  40. how to know if pacemaker is working
    • check pulse
    • teach them
  41. sinus tachy
    activity, stress, anxiety
  42. chest pain med
    • nitro MONA
    • o2, asp, n, m
  43. area not return bld to heart
    • collateral circulation protection from damage
    • automatic

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