Care of Patient with Cardio/Peripheral Disorder

Question 1

HEART

Answer 1

-located in mediastinum
-not much bigger than fist
-pumps 1000 gallons
-beats 100,000 times a day
-transports 60,000 miles of blood

Question 2

What composes the heart wall?

Answer 2

1) Pericardium-double-layered, covers entire structure
2) Myocardium-thickest, strongest layer
3) Endocardium-inner most layer

Question 3

What are the AV valves doing during diastole?

Answer 3

AV valves are open during diastole and atrial contraction

Question 4

What are AV valves doing during systole?

Answer 4

AV valves are closed, during ventricular contraction

Question 5

Physical Assessment

Answer 5

-LOC
-vitals
-lung sounds
-bowel sounds
-apical sounds
-pedal pulses
-cap refill
-skin color
-turgor
-temp
-edema

Question 6

Health History

Answer 6

-describe symptoms
-when occurred
-course/duration
-location
-relief measures/what makes it worse

Question 7

S/SX of ischemia

Answer 7

-pain in jaw/left shoulder
-anxiety

Question 8

Indications for HF

Answer 8

weight gain more than 3 pounds in 24 hrs

Question 9

Nursing Diagnoses

Answer 9

*activity tolerance
*anxiety
*pain
*excess fluid volume
*decreased cardiac output
*impaired gas exchange