Anemia and Hema
Common blood transfusion reaction
Low back pain, headache
What are the 5 Ps?
Pain
Pallor
Paresthesia
Pulse
Paralysis
What causes varicose veins?
*bonus-200- name 2 tx
Leaky or stretched valves in veins, causes pooling of blood.
Tx-compression hose, elevation, endovenous laser tx
What holistic concerns do we have with someone having an MI?
Psychosocial-Denial, anger, depression
Name 2 medicines an MD would prescribe post MI
*bonus 100- OTC tx*
Statins, Zetia, lipid, fenofibrate, colestid, etc
Bets blocker, smoking cessation patch, gum
Niacin, omega-3
Main sickle cell symptom, 1 TX
*bonus 100- med that may decrease episodes*
Pain
Fluids, prevention
Hydroxyurea (Hydrea)
Most important difference between hypertension urgency and emergency
Emergency is life threatening due to signs of target organ damage
Disease that pulses are diminished or weak, skin is pale and ulceration is likely
PAD
Name 4 symptoms of CAD
Chest pain
Dyspnea
Tachycardia-palpitations
Nausea
Cool, claims
Fatigue-weakness
Two nursing interventions post cardiac cath
BP control
Monitor for bleeding
Let air out of balloon cuff
Disorder where blood gets thick from overproduction of RBCs
Name 2 symptoms
Polycythemia Vera
Reddish face with deep-red purplish lips
Fatigue, weakness, dizzy, HA, splenomegaly
Primary cause of CAD
Bonus 100*Name 2 medicines to treat
Atherosclerosis
Statins
Omega-3, Niacin
Welchol
Disease with mottled, brown pigmentation, edema likely, with aching leg pain
PVD
Main cause of an MI and primary blood test to diagnose
Atherosclerosis
Troponin
What is a MIDCAB and what is the benefit?
Minimally invasive direct coronary artery bypass
Less risks esp with infection
Disease that has high number of immature cells preventing production of healthy cells, unknown origin
Leukemia
AAA symptom and treatment
Back pain, feeling of pressure or pulsating in abdomen.
Lower BP, treat pain, monitor closely, surgery once risk of rupture is higher than risk of surgery
What condition/symptom would you likely see in arterial disease-PAD
Gangrene
What will you see with pericarditis, what helps?
Pericardial friction rub on auscultation
Sitting up and leaning forward
Who is eligible for thrombolytics to treat an MI? (2 things)
Within 12 hours of symptom onset
ST elevation or NEW left bundle branch block
Name the 4 types of anemia in the book and give the tx for one
Iron-deficiency
Megaloblastic
Aplastic
Sickle Cell
Caused by spasm of the arteries of the upper and lower extremities.
3 symptoms
Raynauds
Change in color, burning, throbbing pain
Name 2 things to avoid with Raynauds?
Cold, stress, caffeine
Criteria for heart transplant
2 risks after transplant
Hx of hospitalizations for HF, LVAD, maxed out on meds, decreased oxygen, good kidney function, psychologically stable
Infection
Rejection
Treatment for acute MI
Morphine
Oxygen
Nitrates
Aspirin