Disorders
stable angina
What instruction should the nurse include for a patient taking thiazide diuretics
Monitor for HypOkalemia
give a secondary prevention for clients who are at risk of developing hypertension
Monitor blood cholesterol levels
Effects of statins
Myopathy, muscle weakness, muscle aches, tenderness.
how do you relieve chronic stable angina
Rest or nitroglycerin
this disorder can occur without cause, often in the morning after rest and relieved only by opioids. manifestations last more than 30 minutes
myocardial infarction
early signs of this drug toxicity are nausea, anorexia, vomiting, abdominal discomfort (name the drug)
2. Name the antidote
Digoxin
fab antibody fragments
recommended meat intake to promote heart-hearty diet
Lean meat limited 5-6 oz per day
What can increase effects of warfarin
Garlic
Limit egg yolks to 2-3 per WEEK
manifestations of this disorder
-jugular vein distention, dependent edema, abdominal distention, weight gain, hepatomegaly
-ascites, fatigue, weakness, nausea, anorexia, nocturnal,
right-sided failure
route of administration - nitroglycerin
Sublingual
exercise for how many times a week
20 minutes a day, 3 times a week
Hypertension
What triggers stable angina pectoris
Exertion and anxiety
An electrolyte imbalance that has clinical manifestations leg cramps, tachycardia, fatigue, And muscle weakness
HypOkalemia
first line of drug to control hypertension
Diuretics
Advice client to do what if 1 nitro fails to relieve angina
Call 911
Nursing actions for patients with heart failure
Adherence to dietary and fluid RESTRICTION
Hold DIGOXIN med if apical pulse is less than 60/min
Administer oxygen as prescribed, encourage bed rest
position in high Fowler
weight client daily
A medical emergency caused by fluid accumulation in the pericardial sac
Cardiac tamponade
Identify at least one risk factor for coronary artery disease
Central obesity
smoking
hypertension
diabetes mellitus
high fat diet
How many times can you take nitroglycerin sublingual
4 tablets at 5 minute interval for chest pain
Risk factors for this disease are left sided heart failure, right ventricular MI, and pulmonary problems such as COPD
Right sided heart failure
Instructions for applying NTG topical ointment
Check bp before application
wear gloves for admin
apply to clean, hairless area
do not massage or rub area
change every 12-14 hours
Rotate sites
What is common with clients taking antihypertenive medication therapy
Non-adherence, ask if client is taking their med as prescribed