Cardiovascular System Disorders Flashcards

1
Q

Risk factors for cardiac disease.

A

Smoking, HTN, DM, males, hyperlipidemia, advanced age, hereditary.

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2
Q

Modifiers to reduce cardiac disease risk.

A

Smoking, diet, stress, obesity.

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3
Q

Medication for acute MI in V-tach.

A

Lidocaine.

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4
Q

Effect of caffeine on peripheral circulation.

A

Vasoconstrictor.

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5
Q

Important patient action when diagnosed with Berger’s disease.

A

Stop smoking.

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6
Q

Define complete bed rest.

A

No activities.

Remain silent.

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7
Q

Cause of peripheral or pulmonary congestion.

A

Congestive heart failure (CHF)

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8
Q

Suspected condition with sudden chest pain, SOB, and thrombophlebitis.

A

Pulmonary embolism (PE).

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9
Q

Breath sounds after MI, tachycardia, air hungry, and cough with pink frothy sputum.

A

Crackles.

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10
Q

Clinical manifestations for right sided heart failure (RSHF).

A

Edema, SOB, JVD, hepatomegaly, anorexia, nausea, ascites.

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11
Q

Warning signs for Unna boot for venous static leg ulcer.

A

Too tight, diminished pulse, slow capillary refill, cool, mottled, numbness and tingling.

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12
Q

Signs of digoxin or lanoxin toxicity.

A

Visual disturbance (green halo), loss of appetite, nausea, vomiting.

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13
Q

Signs if hypokalemia when taking digoxin and furosemide.

A

Muscle weakness.

Muscle cramps.

Dysrhythmia.

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14
Q

Priority assessment for ambulatory patient with aortic femoral bypass graft.

A

Pedal pulse so that blood flow is still going through the foot.

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15
Q

Precautions for Nitro paste.

A

Gloves, alternate site, wash old site, date and time, measure amount, apply even layer, use provided paper strips for application.

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16
Q

History of patient with valvular disease.

A

Rheumatic fever.

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17
Q

Patient teaching for venous insufficiency with edema.

A

Don’t cross legs, low sodium diet, elevate legs above heart, avoid prolonged sitting or standing, use of compression socks, use of TED hose.

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18
Q

Signs of improvement with IV Lasix.

A

Increased urine output.

Clear lung sounds (no crackles).

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19
Q

Explain heart failure.

A

Heart hasn’t stopped, but is no longer pumping sufficiently.

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20
Q

Potentially lethal dysrhytmias.

A

Ventricular fibrillation.

Ventricular tachycardia.

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21
Q

Lifestyle changes for hypertension.

A

Decrease salt, less processed food, stop smoking, stop caffeine, stop amphetamines.

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22
Q

Important assessment for patient with MI.

A

Vitals during painful periods.

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23
Q

Define 3rd degree heart block.

A

Also known as complete heart block, condition in which the impulse generated in the SA node in the atrium does not propagate to the ventricles, due to a defect in the Bundle of HIS.

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24
Q

Patient teaching for endocarditis.

A

Prophylactic antibiotics prior to any invasive or dental procedure.

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25
Q

Orthopnea.

A

Have to sit or stand to breathe normally. If laying down the head must be up.

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26
Q

With LSHF is orthopnea a complication of the disease?

A

Yes.

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27
Q

Lung sounds for left sided heart failure (LSHF).

A

Crackles, bubbling.

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28
Q

Signs of pulmonary embolism (PE).

A

SOB, tachycardia, hypertension, respiratory distress, wheezing and crackles, tachypnea, low O2 sat, confusion, irritability, restlessness, diaphoretic, and…

Red bloody frothy sputum.

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29
Q

Cause of cardiomyopathy.

A

Cocaine.

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30
Q

Medications to treat venous thrombosis.

A

Heparin.

Coumadin.

Clot busters (streptokinase, urokinase).

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31
Q

Use of greenfield filter in the vena cava.

A

Prevents blood clots and emboli from entering the lungs.

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32
Q

Requirements to be considered normal sinus rhythm.

A

P wave before QRS.

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33
Q

Medication for super ventricular tachycardia (SVT).

A

Adenosine.

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34
Q

Describe ventricular fibrillation.

A

Rapid fluttering, reduced cardiac output, ischemia, an emergency situation.

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35
Q

Intractable angina.

A

Angina that does not respond to any interventions.

36
Q

Aneurysm.

A

Enlarged, dilated portion of an artery.

37
Q

Most important thing to control for an aortic aneurysm.

A

Blood pressure.

38
Q

Action for infected endocarditis.

A

Decrease activity, less activity puts less stress on the heart.

39
Q

Holster monitor.

A

Portable EKG monitor.

40
Q

HF readmitted for medication noncompliance.

A

Ask what the problem is.

41
Q

Abnormal labs for RSHF.

A

SGOT.

BNP elevated.

42
Q

Patient teaching for Raynaud’s disease.

A

Avoid extreme cold, wear mittens, warm clothes, stop smoking, reduce stress.

43
Q

Classification of Procainamide.

A

Antidysrhythmic.

44
Q

Flavor additive for low sodium diet.

A

Lemon juice.

45
Q

Influenza like illness, chills, petechia present in mouth and legs, with heart murmur.

A

Endocarditis.

46
Q

Suspected signs of electrolyte imbalance while taking hydrochlorothiazide (HCTZ).

A

Weakness.

Fatigue.

Leg cramps.

47
Q

Contraindicated medication for heparin.

A

Aspirin.

48
Q

Nursing action for Spironolactone (potassium sparring diuretic) and high potassium levels.

A

Discontinue medication.

49
Q

Action of Propranolol.

A

Decrease heart rate.

Decrease blood pressure.

Improve cardiac output.

50
Q

Sign that Nitrodur patch is working.

A

No more chest pain.

51
Q

Nursing intervention for permanent pace maker put under right subclavian.

A

Mobilize, abduction of the right arm.

52
Q

Positioning for RSHF, dyspnea, tachycardia, tachypnea, SOB.

A

High flowers.

53
Q

Patient assessment before administering Digoxin.

A

Obtain apical pulse.

54
Q

Conditions with a pulse deficit.

A

Atrial fibrillation.

Heart failure.

55
Q

Disease with poor peripheral circulation and poor heart function.

A

Heart failure.

56
Q

Nursing action for acute MI, restless, and diaphoretic.

A

Determine heart rhythm.

Obtain vital signs.

57
Q

Cardiac impulse pattern.

A

SA node - AV node - bundle of HIS - right and left bundle branches - AV bundle - Purkinje fibers

58
Q

ECG deflections.

A

P - atrial depolarization.
QRS - ventricular depolarization.
T - ventricular repolarization.

59
Q

B-type natriuretic peptide (BNP).

A

Neurohormone secreted by the heart in response to ventricular expansion. Elevated BNP indicates HF.

60
Q

Homocysteine.

A

Amino acid produced during protein digestion. Elevated homocysteine act as an independent risk factor for ischemic heart disease, CVD, and venous thrombosis. Plays a role in blood clotting.

61
Q

Types of aneurysms.

A

Fusiform, stretching.

Saccular, polyp.

Dissecting, tissue layer separation.

62
Q

Pattern the heart contracts.

A

Both atria.

Both ventricles.

63
Q

Interior lining of the heart, the valves, and the large vessels of the heart.

A

Endocardium.

64
Q

Period of heart cycle where muscle fibers lengthen, heart dilates, cavities fill with blood, generally relaxation.

A

Diastole.

65
Q

Right atrium receives blood from.

A

Superior and inferior vena cava, and coronary sinus.

66
Q

Observation while taking heparin.

A

Emesis, urine, and stools for blood.

67
Q

Indication with HF, increased abdominal girth, increased body weight, and pitting edema.

A

Fluid retention.

68
Q

Permanent complication of rheumatic fever.

A

Carditis.

69
Q

Fluid IV infusion must be carefully monitored to avoid this complication.

A

Fluid overload of the circulatory system.

70
Q

Nursing interventions for Hx of IV drug use developed acute infective endocarditis.

A

Activity restriction, less stress means less stress on the heart.

71
Q

Patient teaching for PAD.

A

Avoiding exposure to cold and chilling.

72
Q

Nursing intervention for diagnosis of activity intolerance.

A

Plan frequent rest periods.

73
Q

Dependent edema, hepatomegaly, oliguria, JVD, abdominal distention.

A

Right sided heart failure (RSHF).

74
Q

Signs of cardiogenic shock.

A

Hypotension, tachycardia, weak pulse.

75
Q

Modifiable risks of coronary artery disease (CAD).

A

High cholesterol, obesity.

76
Q

Neurohormone released from the left ventricle in response to volume expansion and pressure overload, used as a blood marker for identification of HF.

A

B-type natriuretic peptide (BNP).

77
Q

Normal range for BNP.

A

0-100 pg/mL.

78
Q

Myocardial muscle protein released into circulation after myocardial injury, used in diagnosing MI.

A

Troponin I.

79
Q

Two B-blocker medications approved for heart failure.

A

Carvedilol (Coreg).

Metoprolol (Toprol X-L).

80
Q

Noninvasive diagnostic tool for evaluating HF patient.

A

Echocardiogram.

81
Q

Nursing intervention for diagnosis of decreased cardiac output after MI.

A

Assess for dysrhythmia and hypotension.

Assess for oliguria.

Administer oxygen as ordered.

82
Q

Common treatments for HF.

A

Cardiotonic drugs (digitalis).

Diuretic agents.

ACE inhibitors.

B-blockers.

Nitrates.

83
Q

Thrombophlebitis.

A

Swelling (inflammation) of a vein caused by a blood clot.

84
Q

Side effects of Imdur.

A

Dyspnea, cyanosis, uneven heart rate, syncope.

85
Q

Sclerotherapy.

A

Treatment of vericos veins.