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Galen NUR 242 Exam 4 – Cardiovascular 100% Correct Answers Verified | Latest 2024 Version

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What is the equation for cardiac output? - CO = HR x SV What is preload? - the heart is being stretched out What does preload reflect? - how much fluid is in the heart What is afterload? - resistance the ventricle must overcome to eject blood Example of increased preload - CHF Example of increased afterload - hypertension What is blood pressure? - force of blood against vessel walls What is systolic blood pressure? - amount of pressure generated by the left ventricle to distribute blood into the aorta with each CONTRACTION of the heart What is diastolic blood pressure? - amount of pressure against the arterial walls during RELAXATION of the heart What is the equation for MAP? - 2(diastolic) + systolic / 3 What is the minimum the MAP can be to maintain adequate perfusion? - no less than 60 What is another name for orthostatic changes? - postural hypotensionA decrease of more than 20 mmHg systolic or more than 10 mmHg diastolic pressure with an increase in heart rate - orthostatic change How do you measure orthostatic changes? - Check blood pressure in the following order: after laying supine for 3 minutes, after sitting for 1 minute and standing **Keep cuff in same place** What precautions are important for a patient experiencing orthostatic changes? - fall Who is at risk for orthostatic changes? - prolonged bed rest, medications, dehydration, volume depletion, autonomic nervous system disorders Cardiovascular assessment - general apperance, skin, weight, edema, extremities, blood pressure Markers of myocardial damage - troponin, creatinine kinase, CKMB, myoglobin, serum lipids, homocystine levels Normal lipid levels - Total cholesterol 200mg/dL, LDL (Cardiac pt) 70/dL, LDL (Non-Cardiac pt) 130/, HDL 40mg/dL, Triglycerides 150mg/dL Cardiac Diagnostic Tests - ECG, Echocardiogram, Cardiac Catherization Nursing considerations for cardiac catherization - informed consent, patent IV, allergies to iodine or shellfish, NPO, height, weight, sensations from dye, post procedure care (bed rest 6 hours, leg straight, assess vitals and pulse frequently) What is a normal ejection fraction? - 55-65% What are the contraindications for cardiac catherization? - due to use of dye - renal failure/insufficiency (cret 1.5) or metformin use in the last 48 hours Why is a cardiac catherization conducted? - blockage in coronary arteries

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Galen NUR 242 Exam 4 – Cardiovascular
| 100% Correct Answers | Verified |
Latest 2024 Version
What is the equation for cardiac output? - ✔✔CO = HR x SV


What is preload? - ✔✔the heart is being stretched out



What does preload reflect? - ✔✔how much fluid is in the heart



What is afterload? - ✔✔resistance the ventricle must overcome to eject blood



Example of increased preload - ✔✔CHF


Example of increased afterload - ✔✔hypertension



What is blood pressure? - ✔✔force of blood against vessel walls


What is systolic blood pressure? - ✔✔amount of pressure generated by the left ventricle to distribute
blood into the aorta with each CONTRACTION of the heart



What is diastolic blood pressure? - ✔✔amount of pressure against the arterial walls during RELAXATION
of the heart



What is the equation for MAP? - ✔✔2(diastolic) + systolic / 3



What is the minimum the MAP can be to maintain adequate perfusion? - ✔✔no less than 60



What is another name for orthostatic changes? - ✔✔postural hypotension

, A decrease of more than 20 mmHg systolic or more than 10 mmHg diastolic pressure with an increase in
heart rate - ✔✔orthostatic change



How do you measure orthostatic changes? - ✔✔Check blood pressure in the following order: after laying
supine for 3 minutes, after sitting for 1 minute and standing **Keep cuff in same place**



What precautions are important for a patient experiencing orthostatic changes? - ✔✔fall



Who is at risk for orthostatic changes? - ✔✔prolonged bed rest, medications, dehydration, volume
depletion, autonomic nervous system disorders



Cardiovascular assessment - ✔✔general apperance, skin, weight, edema, extremities, blood pressure



Markers of myocardial damage - ✔✔troponin, creatinine kinase, CKMB, myoglobin, serum lipids,
homocystine levels



Normal lipid levels - ✔✔Total cholesterol <200mg/dL, LDL (Cardiac pt) <70/dL, LDL (Non-Cardiac pt)
<130/, HDL >40mg/dL, Triglycerides <150mg/dL



Cardiac Diagnostic Tests - ✔✔ECG, Echocardiogram, Cardiac Catherization



Nursing considerations for cardiac catherization - ✔✔informed consent, patent IV, allergies to iodine or
shellfish, NPO, height, weight, sensations from dye, post procedure care (bed rest 6 hours, leg straight,
assess vitals and pulse frequently)



What is a normal ejection fraction? - ✔✔55-65%


What are the contraindications for cardiac catherization? - ✔✔due to use of dye - renal
failure/insufficiency (cret >1.5) or metformin use in the last 48 hours



Why is a cardiac catherization conducted? - ✔✔blockage in coronary arteries

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