abdominal aneurysm dissection s/sx Correct Answers rapid
onset of severe pain in abdomen or back
peripheral neuropathy or paralysis
abdominal aneurysm general s/sx Correct Answers often
asymp.
abdominal pulsation, ischemia in extremities from thrombus
formation, peripheral pulses may be weak or absent
abdominal aneurysm rupture s/sx Correct Answers severe pain
in abdomen, flank or back, syncope, hypotension, shock or
sudden death
absolute fluid deficits Correct Answers hemorrhage or
dehydration
afterload Correct Answers resistance to left ventricular ejection
all valvular disease s/sx Correct Answers reduced CO,
pulmonary congestion, both left and right side sx
cardiac output Correct Answers volume of blood ejected by the
heart over 1 min
4-8 L/min
endocarditis risk factors Correct Answers caused by microbial
infection of the endothelial lining of the heart
strep and staph are usually culprits
higher risk in pt with weakened defense mechanisms
, high PVR (right) Correct Answers "clamped down" and
"vasoconstricted"
oxygen
vasodilators: nitric oxide and others
high SVR (left) Correct Answers "clamped down" and
"vasoconstricted"
heart has to work hard: increases myocardial oxygen demand
use vasodilators: nitroglycerin and nipride
HTN emergency Correct Answers 180/110-120 with end organ
damage
HTN emergency with aortic dissection Correct Answers
rapidly reduce systolic to < 100 mmHg
HTN urgency Correct Answers 180/110-120 with no end organ
damage
HTN urgency s/sx Correct Answers may be asymptomatic
headache, anxiety, epistaxis, dyspnea
HTN urgency treatment Correct Answers may be outpatient
gradual decrease in BP over 24-48 hours
if murmur is loudest at 2nd intercostal space in s1 (systole)
Correct Answers aortic stenosis
if murmur is loudest at 2nd intercostal space in s2 (diastole)
Correct Answers aortic regurgitation