Cardiac
What medication do we give for angina
Nitroglycerine
If a patient Has crackles in there lungs what would you not want to give them?
More fluids
What causes Rheumatic fever?
Untreated Step
how to avoid: treat strep quickly
What should you observe for As a complication when someone has aortic stenoisis?
look at the chest pain. ( angina)
GFR lower than 15.
How do you know if the nitroglycerine worked?
Chest pain goes away
CM of of nephrotic syndrome
hypertension, and urine will be cloudy/foamy & extreme Edema.
What is it called when there is fluid backed up in the lungs which makes it difficult to breathe?
Mitral valve stenosis
patient teaching for someone with a pace Maker.
Do not lift on that side
Do not do BP on that side
NO IV on PM side ( Could dislodge electrodes)
hypertension
edema
low urine output
confusion
restless leg syndrome
pruitus
How many pounds does a patient have to lose in 1 week for it be concerning?
2 lbs
Tell them it can turn their urine a different color
FYI so does Pyridium.
tropinin & CKMB
A patient has hyperkalemia what are you going to do for the patient?
Give them Dialysis, Insulin, Calcium gludonate, kayexulate
acronym: D.I.C.K
Giving a patient an infusion with who has acute kidney Injury what would you be on the look out for with this patient?
fluid over load ( slow the infusion)
if a patient has a decrease in cardiac output what can that also decrease in the body?
urinary output ( under 30 mL/hr)
A diagnostic test to rule out kidney disease
24 hour urine test
Hallmark sign for Digoxin Toxicity
Seeing halos
also nausea and vomiting
MI prevention how do we promote this?
Put the patient on Heparin and have the patient rest when there is a 20 BPM Increase in the heart rate.
Clinical manifestations for Bladder Cancer/ Infection ( cystitis)
Hematuria ( blood in urine)
Bladder irritability
urgency/dysuria
if a patient has pulses Paradoxes what would you assess to determine that?
korotkoff sounds ( auscualtate)
Advantages of a patient being on Perironeal dialysis?
patient can do it at home
flexible schedule
less invasive ( does not require vascular Access
less diet restricted.
MI S/S : ALSO what is it that is shown differently in women with an MI?
Chest pain, SOB, N/V & sweating
in women in present differently with shoulder pain.
With Sodium Nitroprusside being given and it being a vasodilator what should be looked out for?
Look for BP drop /Low blood pressure = Fall risk
also of systolic # on BP is below 90 degrees slow down infusion do not want to bottom out the patient
(medication is supposed to relieve hypertension.)
What Clinical findings would you see in a patient with post renal stage?
an obstruction/Kidney stone