CAD U L8R
What is the type of chest pain that occurs unpredictably or at rest, indicating a change in severity or frequency from the patient's usual pattern?
What is...Unstable angina
Are these symptoms consistent with early or late PAD?
Fatigue, muscle weakness, slow healing wounds, leg pain
Early PAD
A nurse is caring for a patient who is status post peripheral angiogram with femoral access. What nursing actions should the nurse preform after the procedure?
What is..
Check site for bleeding, Check circulation, Keep the leg straight, Monitor vital signs
2 factors that lead to fluid volume deficit
N/V
Epigastric Pain
What is the purpose of anticoagulation therapy
To prevent clotting
What are the possible areas of referred anginal pain?
What is....
Jaw, Chest, Shoulders, Neck, Arms
What are risk factors for PAD
Smoking, HTN, HDL, DM
Where is the most common site in which venous stasis ulcers form?
What is...
Medial Malleolus (ankle)
Name 3 diet modifications that a patient should implement for chronic pancreatitis
Bland
Low Fat
Small frequent meals
Reversal for heparin drip
What is..
stop the drip, and protamine
The first line medication management for Angina
What is... MONA
Morphine
Oxygen
IV Nitroglycerin (NTG), sublingual or paste
Aspirin
Drugs prescribed for intermittent claudication
What is..
1. Cilostazol (Pletal)
2. Pentoxifylline (Trental)
Name 5 complications of PAD
Skin/Muscle atrophy
Delayed healing
Wound infecion
Tissue necrosis
Arterial ulcers
Gangrene
Amputation
A nurse is caring for an adult client admitted for evaluation of pain in the epigastrium that is suspected to be pancreatitis. What are 3 tests that the nurse expects the healthcare provider to order to support this diagnosis?
Serum amylase
Lipase
WBC
ERCP/MRCP
Ultrasound
CT w/ contrast
Calcium
Magnesium
Glucose
Nursing considerations for anticoagulant therapy
What is...
Avoid IM injections
Observe closely for signs of bleeding
Assess for mental status change
Avoid aspirins and NSAIDS
A nurse on a cardiac unit is reviewing lab results for a client being assessed for a possible myocardial infarction. Which lab values would be expected to be elevated if the MI occurred within the past 6 hours (Select all that apply):
CK-MB, Troponin I, Troponin T, BNP, Cholesterol, High-density lipoproteins, Myoglobin
CK-MB, Troponin I, Troponin T, Myoglobin
Based on underlying pathophysiology, which disease state is most similar to PAD.
1. Varicose Veins
2. Arthrosclerosis
3. DVT
Arthrosclerosis
An episodic vasospastic disorder of small cutaneous arteries, most often involving the fingers and toes.
What is....
Raynaud's Phenomenon
Name 5 symptoms of acute pancreatitis
LUQ pain
Nausea
Vomiting
Fever
Jaundice
Decr. bowel sounds
Guarding
Crackles
Hypotension
Tachycardia
Shock
The dual antiplatelet therapy typically prescribed after coronary artery stent placement
What is?...
Aspirin 325mg
+
Clopidogrel (Plavix)
or
Brilinta 2x/day
Name 3 diet modifications for CAD
decr. saturated fats, red meat, egg yolks, whole milk
incr. complex carbs and fiber, omega 3 fatty acids
What is the benefit of using an ACE-inhibitor in PAD
Reduces blood pressure and increases maximum walking distance
Difference between Critical Limb Ischemia (CLI) and Acute Limb Ischemia (ALI)
CLI: pain at rest, long term PAD (nonhealing ulcers or gangrene)
ALI: sudden loss of limb perfusion within the last 14 days (embolus/thrombus)
Why would an NG tube insertion be ordered for a patient acute pancreatitis?
Relieves pressure in the stomach and allows for better tolerated feedings.
Action and indication for antiplatelets
-make platelets less sticky
-PAD and active angina