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Terms in this set (185)
Carry oxygen blood away from the Arteries
heart to tissues
High pressure (Arteries think away from the heart)
Return deoxygenated blood back to Veins
the heart
Low Pressure
Without a rhythm of the heart ("a" Arrythmia
means without)
Abnormal rhythm of the heart. Dysrhythmia
Faster than normal rate (>100 BPM) Tachycardia
Slower than normal heart rate (<60 Bradycardia
BPM)
◦ Obstruction of oxygen supply to an Infarction
organ causing tissue death.
◦ Is when prolonged Ischemia causes
cells to die... this is IRREVERSIBLE
once they die
,◦ Can occur without cause, often in Myocardial Infarction
the morning after rest
◦ Relieved only by opioids
◦ Manifestations last more than 30 min
◦ Associated with nausea, epigastric
distress, dyspnea, anxiety, diaphoresis
◦ Inadequate oxygen supply to an Ischemia
organ
◦ Causes Angina
◦ Decrease or interruption of oxygen
to the heart
◦ Can be reversed
When referring to the heart; blood Regurgitation
flows/ leaks backward in the chamber
of the heart.
When a clot cause blockage in a vein Thrombosis
or artery.
Higher than normal blood pressure Hypertension
Lower than normal blood pressure Hypotension
A way of continuously monitor a Telemetry
client's vital signs remotely
Narrowing; typically referring to the Stenosis
narrowing of coronary arteries
How does blood circulates to and
from the heart?
What is the first thing the heart pumps The Heart supplies blood to itself first. following the
oxygenated blood, too? brain and then the kidneys.
,• Contraction of the heart Systole
• When the heart pumps the blood.
• Relaxation of the heart Diastole
• When the heart fills with blood,
How do you calculate cardiac output? CO = HR x SV
(Cardiac output = Heart rate x stroke volume).
Where do you auscultate for heart ◦ Aortic (Right 2nd intercostal space)
sounds? ◦ Pulmonic (Left 2nd intercostal space)
◦ Erb's Point (S1, S2 Left 3rd intercostal space) (use to
listen for paracarditis)
◦ Tricuspid (Lower left sternal border 4th intercostal
space)
◦ Mitral (aka) PMI point of maximum impulse (Left 5th
intercostal, medial to midclavicular line)
What are the labs expected in a Lipid ◦ Total Cholesterol
Panel? ◦ Triglyceride
◦ LDL
◦ HDL
What are the parameters for total <200 mg/dL
cholesterol?
What are the parameters for <150 mg/dL
Triglycerides?
What are the parameters for LDL? <100 mg/dL
(Lethal Cholesterol)
What are the parameter for HDL? >50 mg/dL
(Healthy Cholesterol)
, What are the lipid-lowering agents ◦ Simvastatin
(medications)? ◦ Artovastatin (Lipitor)
◦ Rosuvastatin
What Patient teaching should the RN • Administer at BEDTIME (preferred) as cholesterol is
provide a patient taking HMG-cOa synthesized overnight
Reductase Inhibitors (Statin) • Monitor for MYOPATHY (muscle pain, especially in
◦ Simvastatin legs/back)
◦ Artovastatin (Lipitor) • Avoid Grapefruit (can make medication toxic)
◦ Rosuvastatin?
What are modifiable factors to help ◦ Eat a low-salt diet that emphasizes fruits, vegetables
reduce cholesterol?+ and whole grains.
◦ Limit the amount of animal fats and use good fats in
moderation.
◦ Lose extra pounds and maintain a healthy weight.
◦ Quit smoking.
◦ Exercise on most days of the week for at least 30
minutes.
◦ Drink alcohol in moderation, if at all.
◦ Manage stress.
◦ Accounts for most cases of Essential HTN/ Stage 1 HTN
hypertension
◦ There is no known cause.
Can be caused by disease states, such Secondary HTN/ Stage 2
as kidney disease, or as an adverse
effect of some medications.
What are the modifiable risk factors ◦ Smoking
that can help lower essential HTN? ◦ Hyperlipidemia
◦ Diabetes Mellitus
◦ Obesity
◦ Sedentary Lifestyle
◦ Stress
◦ Psychosocial Fx (type A personality)