chapter 8 study sets Flashcards

1
Q

foods high in vitamin K

A
green leafy greens
broccoli 
liver
meat
eggs
cereal
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2
Q

warfarin prevents?

A

stroke

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3
Q

beta-adrenergic blockers are?

A

propranolol
acebutolol
metoprolol
carvedilol

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4
Q

what are conditions leading to cardiac arrest

A

ventricular tachycardia
ventricular fibrillation
ventricular asystole

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5
Q

obstructions exceeding 75% of the lumen of one or more of the three coronary arteries increase?

A

Risk of death

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6
Q

the most common cause of angina pectoris is?

A

atherosclerosis

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7
Q

what is a decreased blood supply to a body organ or part, often marked by pain and organ dysfunction?

A

ischemia

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8
Q

myocardial ischemia lasting more than 35 to 45 mins produces what?

A

cellular damage and necrosis

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9
Q

what is the development of new vessels in the heart that compensate for the loss of circulation from the occluded artery?

A

collateral circulation

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10
Q

medication for angina pectoris

A

nitroglycerin

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11
Q

signs and symptoms of angina pectoris ?

A

dyspnea
anxiety
diaphoresis
nausea

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12
Q

signs and symptoms of an acute MI in women

A

SOB
weakness
indigestion
anxiety

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13
Q

left ventricular function of cardiogenic shock severely decreased resulting in an inadequate?

A

blood supply to the vital organs

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14
Q

meds for MI

A

nitrate
diuretics
digoxin
angiotensin

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15
Q

med management for cardiogenic shock

A

adrenergic drugs; dopamine at therapeutic levels increases cardiac output and BP

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16
Q

what are signs and symptoms of pulmonary edema and pleural effusion?

A

dyspnea
orthopnea
pulmonary crackles
frothy sputum

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17
Q

right ventricular failure can also result from?

A

chronic pulmonary disease

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18
Q

a higher level of BNP correlates with what?

A

an increase in the pt’s signs and symptoms of HF

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19
Q

ACE inhibitors such as captopril, rampil, benazepil decreased what ?

A

peripheral vascular resistance and improve cardiac output

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20
Q

what are two beta blockers approved by FDA to treat HF?

A

carvedilol

metoprolol

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21
Q

edema and pulmonary congestion are treated with what?

A

diuretics
sodium restricted diet
restricted fluid

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22
Q

frothy sputum is produced from air mixing with the fluid in the ?

A

alveoli

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23
Q

heart valves passively open and close in response to?

A

pressure change in the heart

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24
Q

valvular disorders occur in children, adolescents and adults, primarily from?

A

congenital conditions

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25
Q

Rheumatic fever is caused by an

A

untreated or undertreated streptococcal infection

26
Q

the most common symptoms of angina is severe ?

A

exercise intolerance

27
Q

what is an indication for cardiac transplantation?

A

end stage heart disease that is not responding to medical therapy

28
Q

what is a contraindications for cardiac transplantation?

A

Type 1 diabetes mellitus with end-organ damage

29
Q

pulse scale are?

A

+1= barely
+2= weak
+3=normal
+4= bounding

30
Q

pitting edema scale are ?

A
\+1= trace  2mm  rapid
\+2= mild.  4mm  10-15 sec
\+3= moderate. 6mm  1-2 mins
\+4= severe   8mm   2-5 mins
31
Q

what are signs and symptoms of malignant hypertension?

A

awakening with headache
blurred vision
spontaneous epistaxis

32
Q

signs and symptoms of arterial disorders?

A

pain; arching
pulse; diminishes
edema; usually present
skin; dry, cool

33
Q

what are signs and symptoms of venous disorder?

A

pain; cramping; caused by exercise
pulse; usually present
edema; present
skin; warm

34
Q

the result of atherosclerosis is the result narrowing of the artery and reduced nutrients and oxygen reaching the tissue, resulting in?

A

tissue ischemia

35
Q

patients with chronic PAD may have ?

A

Rubor
cyanosis
arterial ulcers
cellulitis

36
Q

aneurysms may be the result of arteriosclerosis and ?

A

trauma or congenital defect

37
Q

what are nursing intervention and PT teaching for thrombophlebitis?

A

early mobilization, early ambulation

38
Q

the electrical impulse pathway starts in the?

A

SA node, which is the pacemaker of the heart; it initiate the heartbeat

39
Q

the heart is composed of four chambers…

A

two atria and two ventricles

40
Q

serum electrolyte test focus on the body’s balance of

A

sodium
potassium
calcium
magnessium

which are necessary for muscle function

41
Q

sodium (Na+) helps to maintain?

A

fluid balance

42
Q

potassium (K+) is required for relaxation of ?

A

cardiac muscle

43
Q

calcium (ca2+) is necessary for contraction of ?

A

cardiac muscle

44
Q

magnesium (mg2+) helps maintain the correct level of electric excitability in the nerves and muscle including the ?

A

myocardium and the cardiac conduction system

45
Q

an important cardiac marker is called ?

A

Troponin I

46
Q

common lab exams to evaluate cardiovascular function are ?

A
Blood culture
CBC
INR
PTT
ESR
ABG
BNP
47
Q

what are diagnostic tests to evaluate cardiovascular function?

A
cardiac catheterization
Echocardiography 
Telemetry 
stress test
PET
thallium scanning
48
Q

possible nursing diagnosis for the pt with MI include?

A

pain
tissue perfusion
anxiety
constipation

49
Q

signs and symptoms of HF with left ventricular failure include?

A

cough
dyspnea
pulmonary crackles
frothy blood, tinged sputum

50
Q

signs and symptoms of HF with right ventricular failure include?

A

edema in feet
anorexia
distended jugular vein

51
Q

nursing interventions for the pt with valvular heart disease?

A

administering;

  • diuretics
  • digoxin
  • monitor i&o daily weight
  • take BP
52
Q

nursing interventions for hypertension

A

risk factor recognition
drug therapy
exercise
exercise technique

53
Q

what is the heart failure that causes pt to drawn in their own fluid?

A

pulmonary edema

54
Q

what to monitor in pt hydrothiazide ?

A

lungs
daily weight
i&o
electrolyte

55
Q

where is the location of the heart?

A

mediastinum

56
Q

what is another way to check BNP?

A

hormone

BNP above 100 can cause heart failure

57
Q

time is muscle

A

CAB
CPR
AED

58
Q

What a is pump failure, characterized by low cardiac output and peripheral vascular system collapse?

A

Cardiogenic shock

59
Q

Two types of cardiac rehabilitation are:

A
  1. Exercise training to teach the pt how to exercise safely

2. Education, counseling, and training to help the pt understand his or her heart conditions.

60
Q

Valves are:

A

Triscupid, pulmonary, mitral and aortic