medications
What is the function of nitroglycerin?
Dilates cardiac blood vessels to deliver more oxygen to heart
what bp starts stage I hypertension?
what is 140/90 to 159/99
what culture, gender and disease process is the highest risk for heart failure?
a african american female with hypertension
postop how long will you have to lay after the procedure?
what is up to 6 hours
Wht is a risk factor in having an MI for a young female that smokes?
on birth control pills
what food should you not take with warfarin?
what is green leafy veg and cranberry juice
to assure an accurate bp where should the arm be placed?
place the arm below the level of heart, center cuff over brachial artery
What is at least one compensatory mechanism of heart failure
muscle mass of heart increases, urine output decreases, oxygen demand of the heart is increased, epinephrine and norepinephrine is released, kidneys activate renin angiotension aldosterone system, heart muscle stretch
what pulses are important to check after procedure?
the one distal to the insertion site.
what is a symptom of having an MI
What is Chest pain, shortness of breath, fatigue, weakness or dizziness, profuse diaphoresis or nausea
when giving tenormin when should you hold the medication?
when the bp is too low
what complications can happen with hypertension
what is heart failure, stroke, MI and kidney failure
What is a nursing intervention for a client who in acute heart failure ?
minimize shortness of breath and cardiac workload by limiting activity
When a client has undergone a heart catherization what is an important nursing intervention ?
checking pulses every 15 minutes on extremity below the puncture site.
What should we teach a client who has developed a new diagnosis of angina pectoris?
exertion and anxiety can trigger the pains of angina
what lab value do you monitor for a patient who is on IV heparin?
what is anti xa factor and PTT
what teaching do we give a client on diet with hypertension?
No fried foods, limit salt intake, limit saturation fats.
When a client has DVT what is a nursing intervention?
apply compression stockings to allow for venous return and prevent pooling
What nursing intervention do we do postop heart cath 2 hours postop?
check clients distal pulses of both extremities to ensure adequate blood flow is being perfused to both legs
what patient education do we give clients who are taking transdermal patch at home when changing patch daily?
dispose of in a safe location to prevent children and pets from coming in contact with medication
explain what warfarin is used for in atrial fibulation clients?
warfarin helps prevent strokes. it prevents thrombus formation
when having a hypertensive emergency how much should you reduce the bp in an hour?
up to 25%
How do we explain why we place antiembolism stockings on client?
Prevents venous stasis or pooling of blood, they enhance and stimulate the milking and massaging action of veins
what are 3 nursing actions postop for cardiac cath?
check peripheal pulses, keep the clients hip and leg extended, and have the client remains in bed supine with weight on artery for up to 6 hours
when completing an ecg 12 lead what is important to instruct client to do while conducting the test?
hold still once I have attached the gel pad