Cardiovascular Flashcards
What is the PTT time for Heparin?
Target is 1.5-2.5 or 25-35 seconds
INR is ony monitored for which medication?
Warfarin
Clonidine is prescribed for people with uncontrolled hypertension, what is one thing to remember with this medication?
rebounding BP
It should not be stopped abruptly and should be tappered 2-4 days.
What is a serious complication associated to STATINS?
Rhabdomylysis
what blood work do you need to check for STATINS?
Totla Cholesterol
LDL
Tri levels
what clients are prone to DVT
Immobilized
Pregnancy
obesity
cancer
What med is appropriate for HF?
Furosemide - LOOP
ACE-RIL to stop hyponatremia
Right sided HF?
Abd distention
Jug vein
Edema
hepatomeagly
What is a concern for propanlol?
Betas can cause bronchconstriction
s+s: wheezing
assess for hx of asthma
What is important when utilizing antiplatelet?
Monitor for signs of bleeding
Clopidogrel can cause purpura
What does unfractioned Heparin do?
It is an anticoagulant
Anticoagulant thrombus prevent from growing bigger and prevent new ones developing over time. Fibrinolytic will be taken down by the body.
What is MIDCAB?
Small incisions on the rib that hurt
What can statin drugs be taken?
Lower cholesterol
At night to be taken to by synthesized faster at night take with the evening meal
What med can you use along with heparin for DVT?
warfarin takes 48-72 hrs to help reach INR therapeutic effect
What is therapeutic aPTT?
46-70
What is kawasaki disease
Systematic vasculitis A fever that lasts more than 5 days S+S - conjuctivitis lymphadenopathy hand and foot sweel
What is treatment for IV immunoglobulin?
IV immunoglobulin and aspirin to prevent cardiac arrhythmia
What’s a big problem w/ kawasaki disease for children?
Coronary aneurysms 3 phases acute - high fever subacute - skin peels covalescent - symptom disappears
*watch for fluid overload? = can lead to pulmonary edema = HF
What is the first action to take w/ tetralogy fallot in infants?
knee chest position
what is the normal values for troponin?
<0.5
What is Tetralogy fallot?
Pulmonary regurgitation of the heart
The signs and symptoms are Jugular vein distention, oedema ascites weight gain, increased heart rate, decrease the pressure, and Tet
What are the contraindications for thrombolytic therapy?
Haemorrhage stroke within the last three months, cerebral malformation, active bleeding, aortic dissection, a BP greater than 180, as a solid greater than 110
What is the procedure for measuring orthostatic blood pressure?
Client stands for five minutes, measure blood pressure and heart rate, client stand up, repeat blood pressure and heart rate for one and three minutes
What is a normal CVP?
2-8,
Elevation indicates a fluid overload
What is ventricular septal defect?
Septal defect left to right of the heart,
Patient is at risk for congestive heart failure.
Once grunting occurs it indicates that congestive heart failure has occurred
What is the first thing you do for an ST elevation?
Attach a cardiac monitor
When a patient has a central venous catheter dislodged due to air embolism what should you do?
Applying occlusive dressing, Trendelenburg, monitored vitals, I notified the healthcare provider
What is the recommended MAP?
> 60-65
What are the signs and symptoms of chronic IV
Brownish thick skin on extremities and venous leg ulcer
What is chronic venous insufficiency ?
When lower extremities fail to keep blood moving forward
What med can increase risk for CVD?
NSAIDS- thrombotic event
What meds cause orthostatic hypertension?
Antipsychotic medication, anti-depressants, diuretics, vasodilators, narcotics, antihypertensive