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med surge > Ch.35 Vascular disorders > Flashcards

Ch.35 Vascular disorders Flashcards

1
Q

What is the best position of a patient’s arm when taking their blood pressure?

A

At heart level

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2
Q

What is a concern when taking a thiazide diuretic?

A

Low K+

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3
Q

What is considered the limits on acceptable alcohol consumption daily?

A

2 drinks or less

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4
Q

What is very important for a patient with Raynaud to remember when living in a cold climate?

A

Wear good mittens/gloves and socks to keep extremities warm

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5
Q

130 / 82 what category of HTN does this fall in?

A

Pre-HTN

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6
Q

What maneuver has been taught to detect DVT?

A

Homan’s sign

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7
Q

What is considered a normal SBP?

A

<120 mm Hg

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8
Q

What is a side effect of a calcium channel blocker?

A

Bradycardia

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9
Q

What type of job would increase a patients risk of PVD?

A

Jobs where a person sits/stands in one place for the majority of the shift

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10
Q

With a diet that has sodium restriction what is the recommended amount of daily intake?

A

2000 mg

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11
Q

True or false: a patient’s whose venous system is insufficient will most likely have pitting edema

A

true

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12
Q

Do we encourage elevation when a patient has peripheral vascular disease?

A

Not usually, as it can make venous return worse

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13
Q

What four things do you need to assess when doing an extremity assessment for blood flow?

A

Color, hair loss, temperature and pulse

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14
Q

What type of medication is Propranolol?

A

Beta blocker

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15
Q

What could be a complication of an angiogram?

A

Loss of blood/pulses & contrast allergy

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16
Q

When taking a diuretic what should patients be educated to eat?

A

Foods high in K+ unless it is a K+ diuretic

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17
Q

True or false: it is safe to massage an extremity that has a clot

A

False

18
Q

True or false: A healthy heart diet includes soda

A

False – caffeine and sugar are negatives

19
Q

Why do we suggest dangling legs with compromised arterial blood flow?

A

To promote the blood flow to the lower extremities

20
Q

What is the best way to warm feet with a peripheral vascular disorder?

A

Loose fitting socks – use non restricting garments

21
Q

What’s disease would make using a beta blocker risky?

A

DM – lowers blood sugars

22
Q

True or false: Claudication is relieved with rest

A

True

23
Q

Upon assessment a patient with an arterial occlusion will have what color of an extremity?

A

Pale/cyanotic – cold/cool – no pulse

24
Q

How is exercising helpful in a patient with peripheral vascular disease?

A

Helps move blood through the muscles

25
Q

Would a patient with hypertension benefit from relaxation exercises?

A

Yes – stress can increase BP

26
Q

What is something that a patient can do to reduce pressure on a varicose vein?

A

Achieve an ideal body weight

27
Q

Why do patients wear compression stockings after vein stripping?

A

To prevent blood from returning into the collapsed vein and to promote circulation everywhere else

28
Q

What is claudication?

A

Cramping pain in the leg that is induced by exercise

29
Q

What type of medication should be avoided in patients with COPD?

A

Beta blocker – poorly selective

30
Q

What is being treated when a patient undergoes vein stripping?

A

Varicose veins

31
Q

For how long after smoking a cigarette does vasoconstriction happen?

A

1 hour

32
Q

When trying to reduce sodium Intake, what can replace sodium?

A

Garlic

33
Q

What indicates a positive Homan’s sign?

A

Pain in the calf

34
Q

What is a normal DBP?

A

<80mm Hg

35
Q

What color might lower extremities with chronic venous insufficiency?

A

Brown

36
Q

What type of medication is verapamil?

A

A CCB – calcium channel blocker

37
Q

But patient decides to stop HTN medications abruptly. What are they at risk of having?

A

A hypertensive crisis

38
Q

Treatment of primary (essential) HTN focuses on?

A

Modifiable risks

39
Q

Treatment of secondary HTN focuses on?

A

Specific disease processes

40
Q

What type of medication is Diltiazem?

A

CCB – calcium beta blocker

med surge (4 decks)

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