Cardiovasular Flashcards
how do clients experiencing angina describe the pain
squeezing, heavy, burning, radiates to the left arm or shoulder, transient or prolonged
develop a teaching plan for the client taking nitroglycerine
take at first sign of anginal pain, take no more than 3, five minutes apart. Call for emergency attention if no relief in 10 min
parameters of BP for HTN
greater than 140/90
differentiate essential and secondary HTN
essential HTN is no known cause. Secondary HTN develops in response to an identifiable cause
develop a teaching plan for a client taking antiHTN meds
explain how and when to take meds, reason for medication, necessity of compliance, need for followup, and VS parameters while initiating therapy
intermittant claudication
pain r/t PVD, pain occurs with exercise and disappears with rest
discharge instructions for PVD
extremeties elevated when sitting, rest when pain, keep extremities warm (DONT use heating pad), change positions, don’t cross legs, wear unrestrictive clothing
underlying cause of AAA
artherosclerosis
lab values to monitor daily wiht thrombophlebitis undergoing anticoagulant therapy
PTT, PPT, Hgb, Hct, platelets
When do PVCs present grave danger
when they begin to occur more often than once in 10 beats, occur in twos or threes, land near the T wave, or take on multiple configerations
L versus R side cardiac failure
L side - pulmonary congestion due to back up of circulation in the L ventricle. R side - results in peripheral congestion due to back up of circulation in the R ventricle
2 symtoms of dig toxicity
dysrhythmias, headache, nausea, vomiting
what increases likelihood of dig toxicity
hypOkalemia. (often with also being given diuretics)
immediate actions of nurse when MI is happenning
administer O2 by nasal cannula at 2-5 L/min, ensure paten IV or start an IV, take measures to alleviate pain and anxiety, strict bedrest to reduce O2 needs
S/S hypokalemia
dry mouth and thirst, drowsiness, lethargy, muscle weakness and aches, tachycardia
