ch 31 cardiovascular assessment Flashcards
classes of meds that can have potential cardiovascular adverse effects (7)
- anticancer meds
- antipsychotics
- corticosteroids
- hormone therapy/oral contraceptives
- NSAIDs
- psychostimulants
- tricyclic antidepressants
major cardiovascular risk factors (6)
- abnormal serum lipids
- HTN
- sedentary lifestyle
- diabetes
- obesity
- smoking
cardiovascular abnormalities found upon inspection (5)
- cyanosis
- nail clubbing
- JVD
- ulcers
- varicose veins
cardiovascular abnormalities found upon palpation (6)
- HR >100 bpm or <60 bpm
- absent pulse
- bounding pulse
- irregular pulse
- thready pulse
- thrill
cardiovascular abnormalities found in extremities (4)
- abnormal cap refill (>2 secs)
- asymmetry in limb circumference
- cold extremities or unusually warm extremities
- pitting edema
cardiovascular abnormalities found upon ausculatation
- S3
- S4
- bruit
- murmur
- pericardial friction rub (high pitched scratchy sound)
- pulse deficit
whats the normal range for BNP
<100
who might have increased bnp
with HF or after heart surgery
normal range for CK-MB
<4-6%
who might have increased CK-MB
pt who has recently had MI
normal range for copeptin
<10
who might have increased copeptin
pt with MI
influenced by fasting and water load
normal ranges for C reactive protein (low-high risk)
lowest risk: <1
moderate risk: 1-3
high risk: >3
who might have increased c reactive proteins
higher risk for cardiac disease and MI
normal range for homocysteine
4-14
who might have increased homocysteine
risk factor for cardiovascular disease
normal ranges for NT-Pro-BNP (<74 yo, >75 yo)
<74 yo = 124
>75 yo = 449
who might have increased NT-Pro-BNP
helps assess severity of HF
levels higher in women and pts with renal insufficiency
normal range for troponin (T and I)
T: <0.1
I: <0.03
who might have increased troponin
cardiac injury/ischemia
normal range for cholesterol
<200
who might have increased cholesterol
associated with atherosclerosis
risk factor cardiovascular heart disease
normal range for lipoprotein a
<30
who might have increased lipoprotein a
increased risk for atherosclerosis, MI, stroke
