Valvular Disorders Flashcards
1
Q
CAD Modifiable RF
A
- lipid intake
- BP
- diabetes
- tobacco use
- physical activity/weight
2
Q
CAD Geriatric
A
- increased incidence/mortality
- treat HTN & hyperlipidemia
- smoking cessation
3
Q
Chronic Stable Angina
A
- chest pain
- brought on by stress, physical activity, upset
- Neck, jaw, shoulders, arms
- relieved by rest/meds
4
Q
CSA Acute Intervention
A
- upright position
- supplemental oxygen
- VS
- ECG
- NTG followed by opioid
- assess heart & breath sounds
5
Q
Acute Coronary Syndrome Care
A
- ECG
- upright position
- O2 above 93%
- IV access
- NTG and ASA
- statin & morphine
6
Q
UA or NSTEMI
A
cardiac catheterization with PCI once stable
7
Q
NSTEMI
A
coronary angiography
•IF STABLE WITHIN 12-72 HOURS
•BALLOON ANGIOPLASTY + STENT(S)
•MANY ADVANTAGES OVER CABG
8
Q
Thrombolytic Therapy
A
•ONLY FOR PATIENTS WITH A STEMI
•GIVEN IV WITHIN 30 MINUTES OF ARRIVAL TO THE ED (IV heparin too)
or
• 90 MINUTES FROM DOOR TO CATHETER LABORATORY FOR CORONARY ANGIOGRAPHY
9
Q
Coronary Surgical Revascularization
A
- failed management
- left main coronary artery or 3 vessel disease
- not candidate for PCI
- history of DM, LV probs, CKD
10
Q
TRADITIONAL CORONARY ARTERY BYPASS GRAFT (CABG) SURGERY
A
- requires sternotomy & CPB
- use arteries & veins (mammary artery)
11
Q
ACS Nutrition
A
-initially NPO progress to -low salt -low sat fat -low cholesterol
12
Q
CORONARY REVASCULARIZATION: PCI
A
- monitor for recurrent angina
- frequent VS
- monitor catheter site
- Neuro checks
- bed rest
13
Q
CORONARY REVASCULARIZATION: CABG
A
- ICU for first 24-36 hrs
- pulmonary artery catheter
- intraarterial line
- chest tubes
- ECG
- mechanical vent
14
Q
CPB Complications
A
- bleeding and anemia
- fluid/electrolyte imbalance
- hypothermia
- infections
15
Q
CABG Post Op
A
- surgical site care
- pain management
- DVT prevention
- pulmonary hygiene
- cognitive dysfunction
