Objective 13 and 14.txt

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Anonymous
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232441
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Objective 13 and 14.txt
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2013-09-02 14:24:35
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Objective 13 14
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Objective 13 and 14
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  1. Intra-aortic balloon pump
    used to improve myocardial perfusion during an acute MI, reduce preload and afterload and facilitate left ventricular ejection
  2. Pre CABG surgery
    beta blocker, get central line established, pt education, swab nose for MRSA, chlorhexidine bath, put lines in, anti-gout med prophylactically
  3. Post CABG surgery
    on vent 3-6 hours, have chest tubes, labs (K, Mg, CA, Na), monitor hemodynamics and HR and rhythm
  4. Candidates for CABG surgery
    angina with >50% occlusion of the left main coronary artery, unstable angine, ischemia with heart failure, Acute MI with cardiogenic shock, valvular disease, coronary vessels unsuitable for PTCA
  5. Complications of CABG
    fluid and electrolyte imbalance, hypotension, hypothermia, bleeding, cardiac tamponade, decreased LOC, angina pain
  6. First day post CABG
    ambulating 25-100 ft 3 times a day, in chair 4-8 hours after extubation
  7. Rheumatic endocarditis
    prevention is key, tachycardia, cardiomegly, new murmurs
  8. Rheumatic endocarditis
    caused by group A strep, most often school age children
  9. Nursing consideration for RE
    take antibiotics for full duration; meds for rest of life
  10. Ineffective endocarditis
    common in IV drug users, valve replacements,systemic infection or structural cardiac defects; strep or staph
  11. Ports of entry for endocarditis
    oral cavity, skin rashes/lesions, infections, surgery or even IV lines
  12. Features of ineffective endocarditis
    fever with chills, night sweats, malaise, anorexia, murmur, HF, evidence of systemic embolization, petechiae, splinter hemorrhages (red streaks under nail beds), osler nodes, janewayÂ’s lesions, positive blood culture
  13. Myocarditis
    due to viral, fungal, or bacterial infection
  14. Findings of myocardial
    tachycardia, murmur, friction rub, cardiomegaly, chest pain and dysrhythmias
  15. Pericarditis
    commonly follows respiratory infection, can be due to MI, SOB, pain relieved when sitting and leaning forward
  16. Protect yourself with pericarditis
    wear PPE
  17. Where to find petechiae
    endocarditis
  18. Where to find murmur
    myocarditis and endocarditis
  19. Where to find rash
    rheumatic endocarditis
  20. Where to find friction rub
    pericarditis
  21. Where to find splinter hemorrhages
    ineffective endocarditis
  22. Where to find chest pain
    pericarditis
  23. Where to find rapid heart rate
    myocarditis
  24. Where to find joint pain
    rheumatic endocarditis

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