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adult health > other heart > Flashcards

other heart Flashcards

1
Q

what causes infective endocarditis

A

bacterial streptococcus and Staphylococcus

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2
Q

fever, chills, weakness, malaise, fatigue, anorexia, back pain, headache, weight loss, petechiae (ankles, folds of the skin)

A

flu like symptoms; endocarditis

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3
Q

secondary to endocarditis

A 
janeway lesions-nontender 
osler nodes- tender 
splinter hemorrhage 
roths spots- hemorrhage on the retina 
petechiae- red spots
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4
Q

side effects of ace inhibitors

A

dry cough and angioedema (mouth swelling)

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5
Q

what levels are we looking at with diuretics

A

creatinine, electrolytes, low blood pressure

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6
Q

betablocker side effects

A

decrease hr, decrease bp, bronchospasms

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7
Q

what is dobutamine for

A

increases cardiac output for hr patients

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8
Q

teaching for patient with hr

A

decrease sodium, weigh, diuretics, dangle feet

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9
Q

how do you know if patient with hr is better

A

decrease pulmonary edema, decrease crackles, decrease hr

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10
Q

how is heparin given

A

IV

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11
Q

how is coumadin given

A

pills

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12
Q

what is important to know about aoritc dissection

A

decrease blood pressure because an increase could make the tear worse

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13
Q

when to report to doc after a person had a stent placement

A

decrease perfusion in extremity

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14
Q

if patient is on hydro or furosemide for diuretic what kind of diet should they b on

A

potassium diet- bananas, spinach, potatoes

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15
Q

anticoagulant for dvt

A

naxoparone

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16
Q

how is hr diagnosed

A

echocardiogram

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17
Q

antidote for morphine

A

naloxone

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18
Q

sinus brady with symptoms

A

atropine. t bringing it back to top

pacemaker

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19
Q

sinus tachy with symptoms

A

adenosine. bringing hr down

20
Q

antidote for warfarin

A

vitamin k

21
Q

antidote for coumadin

A

protamine sulfate

22
Q

third degree heart block

A

prepare for pacing and atropine

23
Q

post op for pace makers

A

do not lift arm
antibiotics
monitor rhythm
check function of pacemaker

24
Q

3 pvc in a row

A

v tach

25
Q

people who survive SCD will have what

A

holter monitor

should have family learn cpr

26
Q

new murmur with flu like symptoms

A

endocarditis

27
Q

first thing to do with endocarditis

A

blood cultures then start on antibiotics

28
Q

what to treat thromboplebitis

A

NSAIDS and antibiotics

29
Q

 Lethargy, brown, itching, drainage coming from legs

 Elevate legs

A

venous insuffienecy ; PVD

30
Q

brown, weeping fluid

A

venous ; PVD

31
Q

o Intermittent claudication
o Dependent rubor
o Skin- thin and shiny red extremity
o Losing hair

A

PAD

32
Q

teach patients with raynauds

A

wear warm clothes, avoid caffeine, no smoking

33
Q

what med helps with raynauds

A

ccb

34
Q

cardiac tamponade becks triad

A

jvd, hypotension and muffled heart sounds

35
Q

results from Rheumatic heart disease

A

mitral valve stenosis

36
Q

pericarditis labs

A

CRP, ESR- both inflammatory markers

CBC

37
Q

patient has dvt and now they are sob what have they developed

A

pe

38
Q

another type of heparin for patients with dvt/ pe

A

naxoparon

39
Q

pad

A

intermittent claudication with means pain wi ambulation then pain at rest

40
Q

dry wounds

A

pad which leads to amputation

41
Q

wet wounds

A

pvd

42
Q

inotrope meds

A

digoxin, dopamine, dobutamine, epi, noepi, Inamrinone, Milrinone

43
Q

most common cause of heart failure

A

ejection fraction being less than 55%

44
Q

morphine and ace in both help with

A

afterload for heart failure

45
Q

patients with heart failure die from

A

respiratory acidosis

46
Q

metabolic

A

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

adult health (10 decks)

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