Medications, Medications, Medications
What has a tendency to block medications absorbency?
Grapefruit Juice
Which electrolyte do you want to check before giving your patient Furosemide?
Potassium
This is considered the pacemaker of the heart.
SA Node.
This term is used to describe less elasticity and less flexible.
Sclerotic
A dull ache in calf muscles, followed by cramping is called ____.
Intermittent Claudication.
What 2 medications should not be prescribed together?
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ACEI (pril) and ARB (Sartan)
What labs are monitored if your patient is on Warfarin(Coumadin)?
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PT/INR
A 3+ for pulse represents what?
Normal strength and quality.
This disease involves skin color changes, non healing wounds and swelling of lower extremities.
Venous Disease
What is the desired goal of Thrombolytic therapy when used for an MI?
To restore blood flow through coronary arteries.
What medications can you expect to be ordered in regards to anti-platelet therapy?
Aspirin and Clopidogrel (Plavix)
What test is used to help identify cardiomyopathy in your patient?
Echocardiogram
(helps look at the structures)
Your patient just had a femoral bypass done on their right lower extremity. It is warm to the touch and swollen. They are complaining of it being painful and "feels like its on fire". What are your next steps?
Nothing, warming sensation, swelling and pain is normal for this procedure.
Why? They are used to having no feeling in that leg due to poor circulation.
What is the difference between arteriosclerosis and atherosclerosis?
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Arterio- Gradual thickening and calcification of the artery walls
Athero- Gradual buildup of plaque of artery walls
A thrombus associated with the inflammation of a vein is called ___.
Thrombophlebitis.
What reversal agent is used for Apixaban (Eliquis) and Rivaroxaban (Xarelto)?
Andexanet Alfa (Adnexa)
What are your cardiac enzymes you look for in lab work?
Troponin, creatinine phosphokinase (CPK)
What is the "lub dub" sound heard when ausulating the heart?
lub- opening and closing of the AV valves
dub- opening and closing of the semilunar valves
What does PATCHES represent?
Pulses, Appearance, Temperature, Capillary Refill, Hardness, Edema, Sensation
What is Protamine Sulfate used for?
Reversal agent for Enoxaparin (Lovenox) and Dalteparin (Heparin)
What testing can you expect to be ordered if you suspect a DVT in your patient?
Doppler US- assesses blood flow
Duplex scanning- US to diagnose location and extent of thrombi in veins
D-dimer Test
Venous Doppler US- Veins
Arterial Doppler US- Arteries
What is the difference between arterial and venous ulcers?
arterial- Black, ischemic, dry
Venous- Open, draining
This will increase pain when you elevate your legs, why?
Arterial Disease; blood will flow back into your heart and not circulate to lower extremities.
This will normally form in either an Iliac vein or Femoral vein.
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Deep Vein Thrombosis (DVT)