other heart Flashcards
what causes infective endocarditis
bacterial streptococcus and Staphylococcus
fever, chills, weakness, malaise, fatigue, anorexia, back pain, headache, weight loss, petechiae (ankles, folds of the skin)
flu like symptoms; endocarditis
secondary to endocarditis
janeway lesions-nontender osler nodes- tender splinter hemorrhage roths spots- hemorrhage on the retina petechiae- red spots
side effects of ace inhibitors
dry cough and angioedema (mouth swelling)
what levels are we looking at with diuretics
creatinine, electrolytes, low blood pressure
betablocker side effects
decrease hr, decrease bp, bronchospasms
what is dobutamine for
increases cardiac output for hr patients
teaching for patient with hr
decrease sodium, weigh, diuretics, dangle feet
how do you know if patient with hr is better
decrease pulmonary edema, decrease crackles, decrease hr
how is heparin given
IV
how is coumadin given
pills
what is important to know about aoritc dissection
decrease blood pressure because an increase could make the tear worse
when to report to doc after a person had a stent placement
decrease perfusion in extremity
if patient is on hydro or furosemide for diuretic what kind of diet should they b on
potassium diet- bananas, spinach, potatoes
anticoagulant for dvt
naxoparone
how is hr diagnosed
echocardiogram
antidote for morphine
naloxone
sinus brady with symptoms
atropine. t bringing it back to top
pacemaker
sinus tachy with symptoms
adenosine. bringing hr down
antidote for warfarin
vitamin k
antidote for coumadin
protamine sulfate
third degree heart block
prepare for pacing and atropine
post op for pace makers
do not lift arm
antibiotics
monitor rhythm
check function of pacemaker
3 pvc in a row
v tach
people who survive SCD will have what
holter monitor
should have family learn cpr
new murmur with flu like symptoms
endocarditis
first thing to do with endocarditis
blood cultures then start on antibiotics
what to treat thromboplebitis
NSAIDS and antibiotics
Lethargy, brown, itching, drainage coming from legs
Elevate legs
venous insuffienecy ; PVD
brown, weeping fluid
venous ; PVD
o Intermittent claudication
o Dependent rubor
o Skin- thin and shiny red extremity
o Losing hair
PAD
teach patients with raynauds
wear warm clothes, avoid caffeine, no smoking
what med helps with raynauds
ccb
cardiac tamponade becks triad
jvd, hypotension and muffled heart sounds
results from Rheumatic heart disease
mitral valve stenosis
pericarditis labs
CRP, ESR- both inflammatory markers
CBC
patient has dvt and now they are sob what have they developed
pe
another type of heparin for patients with dvt/ pe
naxoparon
pad
intermittent claudication with means pain wi ambulation then pain at rest
dry wounds
pad which leads to amputation
wet wounds
pvd
inotrope meds
digoxin, dopamine, dobutamine, epi, noepi, Inamrinone, Milrinone
most common cause of heart failure
ejection fraction being less than 55%
morphine and ace in both help with
afterload for heart failure
patients with heart failure die from
respiratory acidosis
metabolic
hypertension 130/85
triglycerides greater than 150
impaired fasting glucose greater than 110
abdominal obesity - waist greater than 40 in males; waist greater than 35 in females
hdl cholesterol- less than 40 in males; less than 50 in females
