HTN/CAD
Characterized by the obstruction to blood flow within the coronary arteries.
What is Coronary artery disease CAD
An initial test performed when CAD is expected
What is an electrocardiogram ECG
This drug is used to treat HTN prevents the action of angiotensin II and promotes increased salt and water excretion?
What is Angiotensin II receptor blockers ARBs
You have an IV infusing at 125ml/hr. How many hours will it take to infuse 1500ml?
12 Hours
V 1500
______
Rate 125
Damage to the heart muscle from conditions such as coronary artery disease, chronic hypertension, MI, COPD, Etc.
What is Heart Failure (CHF)
When the heart muscle does not get enough oxygen and nutrients to meet it's demand.
What is myocardial ischemia MI
Used to identify left or right heart hypertrophy and pulmonary edema
What is a chest xray
This diuretic drug causes sodium and potassium loss through the kidneys.
What is hydrochlorothiazide
Order 1.5L of D5NS over 12 hours
What will be the hourly flow rate via pump?
125ml/hr
Volume 1.5ml
___________
Time 12hrs
What is Left sided heart failure?
Stiffening and thickening of valve leaflets, narrow opening and obstruct flow.
What is stenosis
What is a cardiac stress test
I prevent blood clots from forming in the arteries and heart
What is an anticoagulant (Coumadin)
The pump is set to administer 75ml/hr to a patient. How many hours will it take for the patient to receive 600ml of fluid
8 hours
Volume 600ml
_____
Hourly rate 75ml/hr
voluptuous pulses (warm legs) pulses (shiny, cool legs) edema irregular shaped sores no sharp pain (dull ache) yellow or brown ankles
What is PVD Peripheral Vascular Disease
Inflammation of the pericardium
What is pericarditis?
Cardiac biomarker blood test to measure a certain cardiac enzyme released into the bloodstream
Normal level 0-0.04
What is troponin I
I widen the blood vessels to increase the flow of blood and lower the blood pressure
What is vasodilators
Order: Rocephin 1g IV over 30 minutes Q12 hours
Have: Rocephin 1g in 150ml NS
What rate would you set the pump?
300ml/hr
60 min divided by 30 minutes = 2
Volume 150ml x 2 = 300ml/hr
Weight gain over 3lbs/1 day or 5lbs/7 days BAD
What is Right Sided Heart Failure?
Excessive fluid in the pericardial sac that compresses cardiac structures.
What is cardiac tamponade
Lab blood testing to measure risk for atherosclerosis and a risk factor for heart disease (2 answers)
> 60 mg/dl
< 100 mg/dl
What is HDL and LDL
I improve the heart's ability to pump blood and slow down an irregular heartbeat. I can cause toxicity if too much is taken.
What is Digoxin
Order: erythomycin 200mg/250ml
Infuse over 1 hour
The drop factor is 10gtt/ml
Calculate the flow rate in drops per minute gtt/min
42 gtt/min
V 250ml
______________
x 10gtt/ml
60 min = 41.6
Absent pulses, shiny cool legs, red round sores, cool toes and feet, sharp calf pain
What is PAD Peripheral Arterial Disease