Stress and Coping
What are the 3 types of stress?
Acute stress, Episodic acute stress: “self inflicted”, Chronic stress: sustained stressor
If someone is experiencing CAD, which is the most common sign
Chest pain
What are some signs and symptoms in DLE
Affects skin, Red, scaly lesions, on face, ears, head
Define Primary Hypertension
There is no known cause, there can have risk factors but no disease or condition causing the hypertension
What is the heart rate for SVT?
150 and Above
What populations experience higher rates of stress?
Racial and ethnic minorities, Gender and sexual minorities, Lower socioeconomic status, Single parents, Women, Adverse childhood experiences (ACE)
What is the first lab we need to get when a Patient presents with MI symptoms
- Get an EKG
What are some triggers for SLE
Hormones, Genetics, Infection, Stress, Medications, Toxins, Epstein-Barr virus, UV light, Silica dust
What numbers for Systolic and Diastolic are classified as hypertension and how can we diagnose it?
Hypertension occurs when the systolic is at or greater than 130 or the diastolic is at 80 or greater, for 2 times or more at least 2 weeks apart then we can diagnose with hypertension
What is the priority for someone who is in Sinus Tachycardia?
IDENTIFY THE CAUSE!
What is Meaning-focused coping?
The individual draw on values, beliefs, and goals to modify the personal interpretation and response to a problem
What is the difference between Troponin and a CKMB
- The Troponin tells us if there is cardiac muscle damage, peaks in 24-48 hrs and can remain elevated for days
- Peaks at 24 hrs, and returns to normal at 72 hrs, detects reinfarction
As a Nurse what should we encourage the client to have with them when symptoms occur?
A LOG!!!
What are some Target Organ that can be damaged from hypertension?
Heart, Brain, Kidneys, Eyes, Peripheral Vessels
Name the 3 tachyarrhythmia's that have a regular rhythm
Sinus Tach, SVT, A-Flutter
What is some examples of positive stress
Getting married, Having a child, Starting a new job
If taking Nitroglycerin which medication should the patient avoid when experiencing a headache?
Ibuprofen
What are some symptoms of SLE?
Fevers, Mouth sores, Shortness of breath, Swelling in your arms, legs, or face, Blood clots, Confusion, Swollen glands, Fatigue, HAIR LOSE, Rashes, Joint pain throughout your body
What influences blood pressure?
Arterial baroreceptors, Renin-angiotensin-aldosterone system, Vascular auto regulation, Regulation of body-fluid volume
What is a TEE and what is it used for?
A test for A-Fibb that detects the development of blood clots in the left atrium
What are the 4 A's for nurses?
Avoid, Alter, Adapt, or Accept.
How soon do we want to reperfuse a STEMI and an NSTEMI?
Want to reperfuse in 60 - 90 minutes for a STEMI, NSTEMI is 4-6 hours
What are the Labs and Diagnostics for SLE?
ANA antibodies, Complement levels of C3, C4 and CH50, ESR, Blood testing include CBC
What medication would it be contraindicated to take salt substitutes with?
Amiloride, Spironolactone, ACE, ARBs, Aliskiren
What are some risk factors for Atrial Fibrillation
Uncontrolled blood glucose, hyperthyroidism, smoking, excessive alcohol intake