Lesson 2 Flashcards
Blood volume peaks at ______
24 to 28 werks
Cardiac output increases _____
50%
The team approach to care during pregnancy consists of?
Internist
OB
Nurse
When is the most dangerous period for pregnant women
28 to 32 weeks
When is the most dangerous period for pregnant women
28 to 32 weeks
Most commonly cause difficulty during pregnancy
Valve damage due to Kawasaki Disease or Rheumatic Fever
Congenital anomalies such as ASD or Uncorrected Coarctation of Aorta
Aorta Dilatation
Marfan syndrome
Risk factors in pregnancy
Rheumatic Fever
Congenital Heart Defect
Arteriosclerosis
Myocardial Infarction
Pulmonary Disease
Renal Disease
Heart Surgery
Ordinary physical activity “causes no discomfort”
Class I / Uncompromised
What classification: during less than ordinary activity, woman experiences excessive fatigue, palpitations, dyspnea, or anginal pain
Markedly compromised / Class 3
What classification: ordinary physical activity causes excessive fatigue, palpitation, and dyspnea or anginal pain
Slightly compromised / Class 2
What classification: woman is unable to carry out any physical activity without experiencing discomfort.
Severely Compromised / Class 4
Pregnant women in the past was “not advised to get pregnant to the increase blood volume and increase work load of the heart”
Women with Artificial Valve Prosthesis
What to watch out for SUBCLINICAL BLEEDING/HEMOLYSIS
- Petechiae
- Premature separation of placenta
Women who have this is “usually associated with atherosclerosis or renal disease and usually puts the mother and the fetus at risk”
Women with chronic hypertensive vascular disorder
Women with DVT increases with a combination of the ff:
- Stasis of blood in the lower extremities from uterine pressure
- Hypercoagulability
- Vessel Damage
What are the risk of developing Deep Vein Thrombosis
- Spontaneous miscarriage
- Fetal death
- Hypertension of pregnancy
- Anti-phospholipid antibodies / anti-phospholipid syndrome
Sign and symptoms of pulmonary emboli
Chest pain
Sudden onset of dyspnea
Hemoptysis
Tachycardia/missed beat
Dizziness
Fainting
Coughing of blood
Hemoptysis
What are the diagnostic test?
ECG
Echocardiography
Echocardiogram
Criteria for establishing diagnosis of heart disease
Persistent murmur
Permanent cardiomegaly
Severe dysrhythmias
Severe dyspnea
Signs of cardiac decompensation
Moist cough
Pedal edema
Dyspnea
Tachycardia
Tachypnea
Cyanosis
Chest pain on exertion
Persistent heart murmur
A sign of pulmonary edema
Pedal edema
Other signs
Syncope with exertion
Cyanosis
Clubbing of fingers
Cardiomegaly
Neck vein distention
Pulmonary hypertension
Safety alert: consists of presence of
Severe dyspnea
Syncope with exertion
Hemoptysis
Nocturnal tachycardia
Angina
A pregnant women with heart disease should avoid:
Infection
Excessive weight gain
Edema
Anemia
How many hours should be the sleep duration for pregnant
8-10 hours at night
2 rest periods during the day
Instruct the client to lie down for ______ after meals
30 mins
Activity limitation for class?
3 and 4
Severly affected clients may need to be admitted as early as ______
Mid-2nd trimester
Withhold pr<60 and >100 bpm
Digitalis
Potassium secreting?
Diuretics
Example of diuretics
Furosemide (Lasix)
What to watch for diuretics
Hypokalemia
What increases the risk for digitalis toxicity
Hypokalemia
Used for any invasive procedure
Antibiotics
Treatment of bacterial infection
Antibiotics
Prevent/treat anemia
Iron supplements
To prevent clot formation with dvt and pulmonary embolism
Anti-coagulant or Heparin/Enoxaparin
Example of anticoagulant
Heparin / Enoxaparin
Relieves angina by vasodilation
Nitroglycerin
When should nitroglycerin be taken
5 mins before effort
Take nitroglycerin while _____
Sitting down
Nitroglycerin should be replaced every
3 months
Help to reduce the formation of additional antibodies in aPLA
Corticosteroid
