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Cardiac Nursing 1

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juniperk's version from 2017-09-17 19:04

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Question Answer
What are 7 teaching points for a patient who is going to have a cardiac cath done?1. Have patient sign consent form 2. Patient CAN take cardiac meds. 3. Instruct the patient to fast for 6-8 hours before the test. 4. Check the patient’s history for sensitivity to iodine & seafood. Give Benadryl if so. 5.Warn the patient that a transient hot, flushing sensation or nausea may occur. 6. Assess for kidney disease. 7. No aspirin or any anti-coagulation medication
Name 7 post procedure care for a patient after a cardiac cath?1.Enforce bed rest for 4-8 hours. 2. If the femoral route was used for catheter insertion, keep the leg straight at the hip for 6 to 8 hours. 3. If the antecubital fossa route was used, keep the arm straight at the elbow for at least 3 hours. 4. Monitor for retroperitoneal bleeding. (bruising over the flank area of patient. 5. Proper removal of sheath or radial band. 6. Monitor the patient’s VS, I & O’s, cardiac rhythm, neurologic and respiratory status, and peripheral vascular status distal to the puncture site. 7. Check the catheter insertion site for signs & symptoms of infection.
Why would a cardiac patient need a chest xray?To view heart size and to rule out other diseases.
What is the purpose of an electrocardiography?To identify conduction abnormalities, cardiac arrhythmias, & myocardial ischemia or myocardial infarction (MI). To monitor recovery from an MI To document pacemaker performance
What is the total cholesterol range?140-200 mg/dl
What is the preferred LDL range?less than 130mg
What is the preferred HDL range?high 30-70 mg
What is the preferred triglycerides range?40-190 mg/dl
Name 9 medications for coronary artery disease?-Antiplatelet agents- aspirin or clopidogrel -ACE inhibitors, -prils, to reduce blood pressure -Cholesterol-lowering agents, such as -statins. -Niacin to increase HDL cholesterol -Nitrates such as nitroglycerin for angina -Beta-adrenergic blockers: -olol or calcium channel blockers such as amlodipine), or felodipine to treat hypertension & angina. -Omega-3 polyunsaturated fatty acid. -Vitamin E -Folic acid
What is the best diagnostic test to view the heart valves?TEE test
What does the echocardiogram show?Waves are bounced off the heart and it records the blood flow through the heart.
What does the prothrombin time show us?Lack of clotting factors or potential bleeding disorders
PTT measure what level in the body?heparin
PT measures what level in the body?Warfarin
What are some signs and symptoms to look for when removing a sheath?lightheaded, bradycardia, hypotension
What should you have at the bedside when patient shows signs of vasovagal while you're removing their sheath?Atropine
What is the #1 nursing dx for a CABG patient?Decrease cardiac output then Ineffective airway clearance.
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