Cardiac
What is a cardiac event that does not have a change in the ST segment of the EKG?
Non-STEMI
Whate would the auscultation of bowel sounds be for above and below a GI blockage?
Hyperactive
Hypoactive
How would a nurse know the difference of a stroke (CVA) headache from other headaches? What is a Transient Ischemic Attack (TIA)?
Severe onset, no other reason, often decrease LOC or other deficits. TIA are ischemic brain attack that people have that last less than 1 hour. TIA can be bad headaches or head sensations that can have many of the same symptoms of a CVA. Can lead to a CVA. Educated client on getting to the Emergency department even with TIA’s, see a neurologist and primary to control HTN
What are anticoagulant medications?
Aspirin & Cloperdergrel (plavix)
Given together after any concern for thrombosis, platelets should not adhere together. Medication to prevent platelets aggregation usually for life or a long time depends on why’s.
What will be the nursing interventions for pancreatitis?
NPO, NG low intermittent suctions, pain medications, Abdominal diagnostics, rest.
What is the term for an infection of the cardiac valve?
Endocarditis
How would a client present that may have acute pancreatitis?
Smelly bowel movement that are oily (steatorrhea), mid gastric pain that can radiate to the back, nausea/vomiting, cannot eat, abdominal tenderness, distention, can have a fever or not, dehydration.
What will the nurse want to know to give TPA?
Last known well, Bleeding HX, NCCT CT negative Brain bleed
What is a medication that could be given for ischemia?
TPA
What are Nursing interventions for hemorrhagic and can be for ischemic stroke (CVA) too?
NPO,Speech consult, palliative, swallow evaluation, HTN treatment, neurology, HOB >30 degrees, supportive care, physical and occupational care, education.
What are the medical terms and causes for “blockage”?
embolisms, thrombosis, atherosclerosis
What causes peritonitis?
Inflammation of the abdominal lining. Infection, can cause septic shock
What are right sided CVA symptoms? What would or could be deficits with a perfusion/blockage positive NCCT right sided of the brain?
Confusion, dizzy, head pain, left-side weakness, balance issues, unable to recognize people
What is a beta blocker medication?
Metoprolol
What are the nursing interventions and care for a client with pulmonary embolism?
TPA with caution, HTN medications, anticoagulants, anti-platelets, volume replacement, SCD’s, education prevention, D-Dimer, CXR, EKG, vena caver filter, ectomy (thrombotic surgery removal), PT, PTT, INR assess and monitor for hemorrhage/bleeding.
What is the procedure/surgery that is done if there is atherosclesosis in the carotid arteries?
Endarterectomy
What is septic shock and signs and symptoms?
Client has an infection, hypotensive, decrease LOC, increase RR & HR. Increased lactate, increased WBC, febrile, can have multiple organ failure
What are left-sided CVA symptoms? What could be the deficits of a positive left sided brain blockage?
Speech (apraxia) language (aphasia), expressive language, vision, weakness, right sided weakness
What is another name for Eliquis? What type medication, action, and risks? Lab values?
Apixaban does not need INR (bleeding monitoring) like warfarin. It is an anticoagulant like aspirin, plavix, teach client about signs of bleeding: gums, bruising more, need to stop before surgeries.
How will client present with congestive heart failure? What is congestive heart failure? Nursing interventions and teaching?
Client with chronic fatigue, heart does not pump adequately and cares are focused on management and quality of life. Safety, nutrition, Diuretics, cardiac medications, social worker, maybe palliative care consult, home health, community resources.
What is an aortic stenosis, an aortic aneurysm, and aortic dissection?
A valve that narrows, a ballooning, and can burst (break open, hemorrhage)
What are labs and diagnostics related to pancreatitis?
Elevated Analyze, lipase, WBC, bilirubin, liver enzymes
CXR, CT with contrast, ERCP
Hypocalcemia, hypomagnesium
Hyerpglycemia treat SS insulin and have glucose IV
Secrets insulin, glucagon and digestive enzymes
What is the Systolic Blood pressure range for TPA administration? SBP when TPA cannot be given?
SBP <185 mmHg
SBP <220 mmHg
Current EBP
What are the medications for treating Hemorrhagic stroke (Intracranial pressure)?
Anticonvulsants, HTN (beta-blockers, ACE inhibitors), Osmotic Diuretics, PPI’s, glucose, Nicardipine (Brand name cardene)
What is unstable angina?
Unrelieved from rest or medications