CAD
What is the most common Modifiable risk factor to developing CAD
What is Hypertension
The patient evaluation reveals dyspnea, lung crackles and chronic cough. The Patient is taking lasix daily
What is left sided heart failure
Wheezing, chest tightness, pursed lip breathing, clubbing of the fingers and barrel chest
What is COPD signs/Symptoms
Increased HR, B/P and RR. Jugular vein distention, lung crackles, weight gain of 5 pound's in 3 days.
What is fluid overload
The patient is experiencing lethargy, weakness, and leg cramps
What is Hypokalemia
Creatinine phosphokinase (CK-MB)
Troponin T and troponin I
Myoglobin
What are laboratory studies should the nurse order to evaluate myocardial damage
Rational: Levels of CK-MB, troponin T, and troponin I rise because of cellular damage. Myoglobin elevation is an early indicator of myocardial damage
Patient is on fluid restrictions and a low sodium dash diet
What is a cardiac diet
Smoking, Occupational exposure, HIV, TB and Infection
What are COPD risk factors
Rinse mouth after MDI use, avoid triggers, avoid smoking, woman are more likely to seek treatment late in the symptoms, wheezing and avoid cold air.
What is asthma
Patients with Alcoholism, thyroid cancer and sepsis
What is Hypokalemia
-The pain goes up and down my left arm.”
-The pain lasts less than five minutes.”
-One nitroglycerine tablet relieved the pain.”
What is the diagnosis of stable angina pectoris rather than a possible myocardial infarction?
The nurse instructs the patient to hold Metformin for 3 days prior and to remain supine in bed for 4 hours after
What is Cardiac Catheterization
Increasing fluids, humidify air, administer bronchodilator and cough expectorant.
Thin out secretions
Shillings test, monthly B12, gastric bypass and alcoholism
What is pernicious anemia
Treatment for K of 6.9
What is kayexalate
Daily oral administration of aspirin for prevention of blood clots
What is long-term medication management of coronary artery disease
Patient c/o chest pain, has K 3.0 or HR of 130 irregular
What is perform an ECG
Check gag reflex. administering O2, Maintaining airway
Patient post Bronchoscopy procedure
Joint swelling, severe pain, dehydration, delayed growth, rigidity, hypoxia, lethargy and vision changes
What is sickle cell anemia
Patient with excessive NG tube suctioning, Ph 7.5, PACO2 28, HCO3 28
What is Metabolic Alkalosis
I experience pain/cramping in my legs when I walk for more than a block from home
What is intermittent claudication
The goal is to increase a patients stamina but can not cure the diagnosis
What is cardiac rehab
Increase fluids, cough and deep breathing, turn and position, O2NC, Semi fowlers position.
What are nursing interventions for COPD
Excessive bruising, petechia, risk of bleeding, occult stool test, avoid injury
What is Thrombocytopenia
Patient admitted with COPD exacerbation with a PH 7.0, PACO2 47, HCO3 23
What is Respiratory Acidosis