CardiovAscular Flashcards
What extremities does Raynaud’s disease effect
Fingers toes ears and cheeks
Assessment of symptoms for Raynaud’s
Blanching of the extremity followed by cyanosis during vasoconstriction
Reddened tissue when the vasospasm is relieved
Numbness tingling swelling and a cold temperature at the affected body part
What Cardiac marker indicates myocardial damage
CK-MB
Occurs within hours and peaks at 18 hours following an acute ischemic attack
What is troponin composed of
Troponin c
Cardiac troponin I
Cardiac troponin T
When does troponin levels rise
Within 3 hours
How long do troponin levels persist up to 7-10 days
up to 7-10 days
What is myoglobin and MI
Oxygen binding protein found in cardiac and skeletal muscle
When does myoglobin rise
2 hours after cell death
When do myoglobin levels decline
Rapid decline in their levels after 7 hours
Description of CABG
The occluded coronary arteries are bypassed with the clients own venous or arterial blood vessels
When is the CABG performed
When the client does not respond to medical management or when the vessels are severely occluded
What veins or arteries are used to bypass lesions in the coronary arteries
Saphenous vein
Internal mammary
Or other arteries
What medications are discontinued preop before CABG
Diuretics 2-3 days before
Digoxin 12 hours before
Aspirin and anticoagulants 1 week before
What medications may be prescribed with CABG
Potassium chloride
Antihypertensives
Anti dysrhythmias
Antibiotics
What chest tubes will be involved with CABG and how much drainage should be reported
Mediastinal and pleural chest tubes
Exceeding 100-150ml
