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Nur114 > Test 2 > Flashcards

Test 2 Flashcards

0
Q

Emergency care with chest pain

A 
Stay with pt
Hob > 15%
Vs/pain
Call bell
Emergency response 
Iv assess
Labs
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1
Q

Risks for mi

A

Post-Menopause

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2
Q

Chest pain meds

A

Aspirin
Morphine
Nitro

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3
Q

Nursing dx

A

Decreased cardiac out rt ischemia

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4
Q

Assessment for mi

A

Bp/hr elevated
Pallor
Diaphoresis

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5
Q

Heart sounds

A

S1 loudest mitral tricuspid

Carotid Pulse helps identify rhythm

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6
Q

Apex assessment

A

Left side
Bell of steth
Squeeze left hand helps s4 identification

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7
Q

Murmur assess

A 
Labored breathing
Lung sounds- crackles from regurgitation
Swishing murmur
High fowlers
Valves with bell/diaphragm
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8
Q

S3

A

Left sidelying
Bell at 5th. Bell harder quiets s3
45* angle for jvd
Peripheral edema from right side hf

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9
Q

S3 failure

A 
Dec output
Orthopnea
Le edema
Crackles
Jvd
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10
Q

Nitro

A

Short acting for mi
Patch for long
Stored dark

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11
Q

Nitro admin

A

Nitro, wait 5, repeat, repeat, call Doc
Rapid vs down
Lying down
No food, water, smoke

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12
Q

Nitro patch

A

12 on/off

Clean dry hairless site

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13
Q

Beta blocker, long term nitro

A

Not dc suddenly

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14
Q

Intermittent claudication

A

Pain when walking

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15
Q

Pad

A

Pain worse when cold

Not necessarily edema

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16
Q

Chronic venous insuffiency

A

Know all
Mild aching
Not white border

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17
Q

Affect

A

Visible behavior expressing emotions

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18
Q

Stage 2/3 schizo

A

Structure, meds, healthy relationships

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19
Q

Neurocog symptoms

A

Impairment in healthy relationships, job, focus

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20
Q

Disorganized thinking

A

Speech behavior and memory

Good memory is good indicator healthy functioning is achievable

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21
Q

Prodromal phase

A

Symptoms leading up to acute phase

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22
Q

Psychosis

A

Can’t interpret reality

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23
Q

Paranoia

A

Strongly defended irrational feeling

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24
Q

Schiz assessment

A 
Is it a: 
Medical problem
Substance problem
Hallucinations? Describe
Delusions? Describe
Comorbid?
Using correct Medication?
Support system?
25
Q

Speaking to paranoid pt

A

Clear, nonjudgmental, concise

26
Q

Antipsychotics

A

3-6 weeks

FGA/Sga

27
Q

Sga

A

Second generation antipsychotics
More used now
Weight gain
Seizure risk

28
Q

Fga

A 
Less used
Dop receptors
Cause extrapyramidal
Don't treat negative 
Cheaper
29
Q

Haldol

A

Larger doses
Least sedating
Help with violent
Lots of EPS

30
Q

Thorazine

A

Most sedating
Hypotension
Fewer eps

31
Q

Nms

A 
Neuroleptic malignant syndrome
Htn, tachy, fever
Diaphoresis, incont, 
Rigid, eps
Give congentin
32
Q

Nms treatment

A 
Dc med
Give Congentin
Vitals
Transfer to med/surg
F/e balance
33
Q

After load

A

Force needed to overcome resistance to eject from LV

34
Q

Preload

A

Volume in ventricle after diastole

35
Q

Pad assessment

A 
Pulse weakens when leg elevated
Pain when at rest
Blue grey skin
Thick brittle nails
Loss of hair in area
Defined ulcers with white border
36
Q

Pad education

A

Keep extremities warm
Restrict vasoconstrictors
Proper shoes and socks
Exercise

37
Q

Pad meds

A

Placid aspirin trental cholesterol and htn

38
Q

Pad revasc

A

Inflow above femoral

Outflow below

39
Q

Cvi

A 
Edema worse at standing
Shiny skin
Brown dis colorations on lower foot
Ulcer on ankles
Thick subq
Homans
Pain fever
40
Q

Cvi meds

A

Hep
Love
Debride

41
Q

Civ intervention

A 
Legs above heart
Ted hose
Protect feet, clean, and soft
Excercise
Don't cross legs
Proper shoes.
42
Q

Virchow triad

A

Stagnant
Injury
Clot

43
Q

Varicose veins

A

Dull pain
Wear stockings
Exercise
Don’t rub/pat

44
Q

Cholesterol levels

A

Total 200
Tri 150
Ldl>70
Hdl>40

45
Q

Statin labs

A

Elevated livers
Diabetic risk
pain assess

46
Q

Statin contras

A

No pregnant or liver/kidney failure

47
Q

Alt cholesterol therapy

A

Low level Niacin

fish oil

48
Q

Cad

A

40% before symptoms

Thrombus cause mi

49
Q

Cv Assessment stable

A

Hx, fam hx, needs

50
Q

Unstable cv assessment

A

Meds allergies cardiac hx

Current symptoms

51
Q

Mi random signs

A

Int claud
Jaw shoulder pain
Numb
Tired

52
Q

Heart phy assess

A 
Cog
BP/pulse
Jvd 
Apical
Ext 
Skin color 
Eye fat xanth
53
Q

Pulse pressure

A

Diff in Sd

54
Q

Pulse pressure ranges

A

Difference in
30-40 normal
> 40 anxiety exc brady
< 30 obstruction BAD

55
Q

Map

A

3

56
Q

Orthostatic

A

20/10 drop

Take BP in 3 positions and 1-3 min between

57
Q

Max impulse point

A

Lauder lie

5 space below nipp

58
Q

A pet monkey

A

Aortic pulm erb tri mitral apical

59
Q

Jvd check

A

45* bed
Highest point
Jv ruler straight (1-2cm normal)

60
Q

Children heart

A

Infants highest risk for hf
Bp at adult levels at pub
Apical/brachial <3

61
Q

Cardiac cath

A

Assess allergic reaction
Glu renal test
Flat 6 hours distal pulses

Nur114 (13 decks)

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