Heart breaker
a patient that is unstable has these symptoms
What is chest pain (new/changed/at rest), shortness of breath, change in level of consciousness, difficulty speaking, hypotension?
dysrhythmias and heart disease result in decreased ___________ ____________
What is cardiac output?
interventions for a patient with respiratory compromise
What is elevate HOB, apply/increase oxygen, reassure client, apply cardiac monitor and pulse ox, and check IV patency?
nursing interventions for a pulse ox reading of 82%; give 2
What is apply oxygen, sit HOB up/reposition, reassess after each intervention, focused respiratory assessment?
a sign of severe/advanced dementia
What is does not know their name?
dysrhythmias that require immediate assessment and intervention (think about the ones that decrease cardiac output and/or cause symptoms)
What is sustained ventricular tachycardia, unstable a-fb, v-fib, asystole, torsade's?
patients with pericarditis are at risk of developing this
What is cardiac tamponade?
nursing interventions prior to a thoracentesis
What is validate consent, provide education on position/holding still, assess if pt can follow commands, perform baseline heart/lung assessment?
Analyze this ABG: pH: 7.28, CO2: 55, HCO3: 25
What is respiratory acidosis?
a client with Parkinson's disease is at risk of this
What is risk of injury/falls, decreased self care, feelings of isolation, deficient nutritional status, risk for aspiration, poor body image?
bradycardia and hypotension are caused by this stimulation and should avoid activities that would aggravate it
What is vagal stimulation?
this medication increases myocardial circulatory supply and vasodilation
What is nitroglycerin?
the nursing assessments to be performed after a bronchoscopy
What is perform heart/lung assessment, monitor for bleeding (some is normal/frank blood is not), assess for gag prior to eating/drinking, assess for pain, assess oxygenation?
name the risks factors for developing a pulmonary embolism; name 3
What is prolonged immobilization, Dehydration, Central venous catheters, Surgery, Obesity, advancing age, Conditions that increase blood clotting-Factor V Leiden, Hyperhomocysteinemia, History of thromboembolism?
assessments to be completed before an MRI with contrast
What is review medications for metformin, assess for claustrophobia, assess renal function, IV patency (20g or lower)?
Interventions for unstable ventricular tachycardia
What is call a code and prepare to shock?
General aches and pains, Petechiae ; Osler’s nodes (painful red spots on palms and soles of feet) ; Splinter hemorrhages; new or ↑Heart murmur; New S3 or S4; S/S CHF are clinical manifestations of which disease?
What is infective endocarditis?
this is intermittent and reversible airflow obstruction affecting airways only, not alveoli; tachypnea and difficulty completing sentences may be present; wheezing (expiratory/inspiratory)
What is an asthma attack?
this can occur under the skin after a bronchoscopy and should be immediately reported to the provider
What is crepitus, also known as subcutaneous emphysema, palpated above the clavicles?
damage to this lobe can cause a client to have inappropriate behaviors and impulsiveness
What is the frontal lobe?
conditions that requires prophylactic antibiotics prior invasive oral or dental procedures
What is rheumatic fever or prosthetic valve replacement?
caused by a Streptococcal infection untreated or undertreated that affects cardiac tissue resulting in valvular damage and carditis; presents with new Murmur, CP, new CHF, tachycardia, and pleural friction rub
What is rheumatic carditis?
interventions to prevent hospital-associated pneumonia; give 3
What is provide oral care q 4hrs, change positions/ambulate frequently, encourage fluid intake of 2L/day unless contraindicated, perform IS 10x/hr while awake?
nursing implications for a patient on a heparin drip to ensure safe care
What is monitor for signs of bleeding, place patient on fall precautions, monitor daily aPTT and CBC, provide education on medication?
this nerve controls the ability of the eye to move past mid-position
What is cranial nerve VI (abducens)?