anticoagulant
what conditions do people have to take Coagulation modifying medications
Clotting problems
risk for clotting from not moving
atrial fibrilation
DVT Hx
Venous problems
acute or chronic issues
what is athreosclerosis
A patient presents to ED with left sided Systolic heart failure what labs would indicate that the patient is experiencing this heart failure
>400 is heart failure
What is Angina
insufficent oxygen
what is mona
Morphine
oxygen
Nitro
Anixety relief/aspirin
what are the types of anticoagulants
vitamin k inhibitors (warfarin)
indirect thrombin inhibitors (heaprin)
low molecular weight heparin
Direct oral anticoagulants
describe arterioscelrosis
thickening or hardening of the arterial wall often associated with aging
A patient has Diastolic left sided heart failure what will increase the afterload?
Hypertension
Atherosclerosis
what is a heart attack
plaque cracks and the blood clot blocks the artery/MI (infarct is cell death)
intermittment claudication
walking and resting with pain stop with rest
what is antiplatelet medications intended effect
make platelets slippery
stop cells in the blood from sticking together
stop platelet aggregation
what are the 6 P's
pain
pallor
pulselesness
paresthesia
paralysis
poikilothermy
what is left sided heart failure symptoms
SOB
fatigue
tachycardia
low urine output
weak pulses
decreased cardiac output
angina diziness
s3 and s4 sounds in heart chambers(fluid accumulation)
orthopena
a 55 year old male patient present with chest pain and is currently sidanfiil can this patient take nitroglycerin
No
the blood pressure will decrease
how should you monitor a patient on antiplatelets
monitor the platelets
and signs and symptoms of bleeding
what is the therapeutic level for the indirect thrombin inhibitors
80-80
a patient presents with asthma and prescribed a beta blocker should this drug be adminstered
No
it will cause constriction
how do you treat left sided heart failure
diuretics
what is a normal side effect from nitroglycerin that is very common
headaches
how can a DVT be managed
leg exercise
elevating the extremeties
prevent moving
compression
what defines homeostasis
platelet aggregation with platelet plug formation
blood clotting cascasde
formation of complete fibrin clot
when does the nurse intervene in relation to the ejection fraction of a heart failure patient
nurse intervenes less than 70
how do you assess with left sided heart failure what are you listening for:
wheezing
crackles
coughing
what is unstable angina
oxygen deprivation no tissue death but will have partial occlusion of vessels
how do you treat a DVT pharmacologically
IV heparin
low molecular weight heparin
warafarin