Metabolic Syndrome
Why is Simvastatin or HMG-CoA reductase inhibitors taken at night?
Cholesterol production peaks at night.
Pt. with suspected MI that is diaphoretic and anxious.
The priority is an EKG
Which heart rhythms requires CPR?
Asystole
What is a sign of a DVT?
Unilateral warmth and swelling
Uncontrolled HTN can lead to which morbidities?
Renal failure, heart failure, stroke, Angina
Which medication lowers triglycerides and increases HDL.
Fibrates
The order of the electrical conduction of the heart?
sinoatrial node, atrioventricular node, bundle of His, Purkinje fibers
When caring for the a Pt. after insertion of a pacemaker. The nurse should.
Limiting movement and abduction of the arm near insertion site
What diagnostic testing is used for DVT?
Venous duplex ultrasound
Laboratory value Most specific for diagnosing an MI.
Troponin
Which patient would be contraindicated for a cardiac transplant?
Patient with an active infection
What is the main difference between primary and secondary HTN?
Primary hypertension is from an unknown cause and accounts for 90% of all clinical cases
Which medications treat arrythmias?
Beta-adrenergic blockers, Calcium channel blockers, Potassium blocks
Alteplase a fibrinolytic agent is used to:
dissolve an existing thrombus or thromboembolism and reopen a clotted central venous catheter.
What is the MOA of Beta blockers?
They decrease heart rate and contractility to reduce myocardial oxygen demand.
After cardiac catheterization, which finding requires immediate reporting to the physician?
Decreased, distal pulse, cold distal extremity, bleeding
What causes S1 and S2 heart sounds?
(S1) is produced by closure of the mitral and tricuspid valves, and (S2) is produced by closure of the aortic and pulmonic valves.
What is a Holter monitor?
it is a portable electrocardiographic device.
The nurse will monitor the patient’s PT and INR levels for which medication?
warfarin (Coumadin)
What is the first sign of digoxin toxicity for a pediatric patient?
Atrial dysrhythmia
How do ACE Inhibitors work?
This drug is designed to prevent the vasoconstriction that occurs with the RASS cascade
The LPN is assessing a client with a known abdominal aortic aneurysm what is contraindicated?
Palpitation
A patient SVT is prescribed Adenosine 6 mg IV push. How doe the nurse and administer it?
Rapid push
What is cilostazol (Pletal) prescribed for?
To decrease leg pain/cramps for intermittent claudication
How does nifedipine, a calcium channel blocker treat Heart Failure?
This medication reduces the resistance your heart has to pump against.