CAD
Name the modifiable risk for CAD?
What is smoking, obesity, HTN, cholesterol, increase activity level
What do you want to have the provider order within 10 minutes of a patient arriving to ER with symptoms of MI?
What is EKG
True or False, HTN is diagnosed on a high reading when you get your physical exam?
False
Two or more assessment that are two weeks apart
What condition do you have a strong pulse? PAD or PVD?
What is PVD
Which sided heart failure can convert to the other side?
What is left-sided heart failure
What medication is contraindicated for a patient taking nitroglycerin?
What is sidenafil
Which MI is complete occlusion of the vessel? NSTEMI or STEMI?
What is STEMI?
What is classified as Stage 1 HTN?
What is systolic 130-139 OR diastolic 80-89
What is important teaching for a nurse to give to a patient recently diagnosed with PAD?
Elevate both legs, above heart, when resting
What is a main lab that should be checked for a patient on Digoxin?
What is potassium?
Following a cardiac stent placement. What are two primary nursing interventions?
What is keep the legs in an extended position and the head below 30 degree angle.
What are the 3 main labs that should be drawn for a patient with suspected MI?
What are:
▪Troponin
▪Myoglobin
▪CK-MB
When educating a patient on diet and lifestyle modifications. How much saturated fat and alcohol should be consumed, daily?
What is 5-6% of daily intake should be saturated fat and a minimum of two drinks per day
A patient is newly diagnosed with PAD. What should the nurse include in the teaching?
What is elevated the legs above the heart when resting.
What are common symptoms of a patient with LEFT sided heart failure.
Dyspnea, orthopnea, dry cough, S3 heart sound, frothy blood tinged sputum, nocturia, fatigue, possible AMS
What are modifiable risk factors of atherosclerosis?
What are:
Hypercholesteremia
HTN
Obesity
Smoking
What is the difference between ACS and MI?
What is ACS is due to temporary lack of O2 to the heart and MI is permanent damage due to prolonged ischemia.
Which type of hypertension has a known cause and what are a few of those causes?
What is secondary HTN.
Causes:
Kidney Disease
DM
Medications
Pregnancy
What positions should the legs be in for PAD and PVD?
PAD-Dangle Legs
PVD-Elevate Legs
What are common symptoms of RIGHT sided heart failure?
Jugular vein distention, Edema in lower legs, weight gain, ascites, polyuria, fatigue
Where should pulses be checked following a stent placement or any cardiac intervention?
What is distal to the insertion site.
What are the main labs that you want to assess for a patient with suspected MI?
Troponin, CK-MB, Myoglobin
What is the name of a diet that is commonly recommended to a patient with HTN.
How many mg of sodium for a patient on this diet?
What is the DASH diet
1,500-2,300
Describe PAD and PVD.
PAD-Narrowing and occlusion with decreased O2 to lower extremities
PVD-Pooling of blood in the extremities due to inability for body to bring blood back to the heart (vascular insufficiency)
What nursing action should you do for a patient who is taking digoxin?
-Observe the client for N/V
-Do NOT administer digoxin with antacids, separate medications by 2 hours.
-Make sure digoxin levels are being checked regularly.