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Cardiovascular system
labs, tests, structure
24
Nursing
Undergraduate 2
03/10/2013

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Term
Nursing diagnoses
Definition
focus on ineffective tissue perfusion and decreased cardiac output
Term
Nursing interventions
Definition
designed to decreased the cardiac workload and increase blood supply, thereby improving tissue perfusion
Term
Left coronary artery
Definition
LCA- branches into the left anterior descending (LAD) artery and the circumflex artery
Term
LAD
Definition
artery supplies blood to the anterior wall of the left ventricle, the anterior ventricular septu and the bundle branches.
Term
circumflex artery
Definition
provides bloos to the lateral and posterior portions of the left ventricle
Term
The Right coronary artery
Definition
(RCA)- fills the groove between the atria and the ventricles and gives rise to the acute marginal artery, ending as the posterior descending artery. The RCA sends blood to the sinus and atricentricular nodes and the right atrium
Term
Cardiac funtion
Definition
CO (Cardiac output) = SV (stroke volume) X HR (Heart Rate)
Term
Ejection fraction
Definition
percent of left ventricular and diastolic volume ejected during systole (Normally 60% to 70%)
Term
3 layers of the blood vessels
Definition
(intima, media, adventitia
Term
angina
Definition
last less than 15 minutes and not more than 30 minutes (average 3 minutes) (s/s- dyspnea, N, urge to void, belching, apprehension
Term
Myocardial infarction
Definition
Sudden; pain last 30 minutes to 2 hours, waxes and wanes; residual soreness 1 to 3 days. N/V, apprehension, dyspnea, diaphoresis, increase or decreased BP, gallop, doom
Term
Ambulatory electrocardiography (Holter monitoring)
Definition
24 hours (not to bathe, shower, operate machinery, or use a microwave oven or an electric shaver while wearing the monitor (dairy of activity)
Term
Cardiac catheterization
Definition
* radiopaque dye
* structures, pressure, oxygenation and cardiac output
* Withhold good and fluids after midnight.
* X on peripheal pulses
* inform of N, chest pain, flushing of face, or throat irritation
* Administer sedation, as prescribed
* Monitor insertion site and pulses after the procedure.
* Maintain a pressure dressing and bed rest for 4 to 8 hours, or as ordered.
* Monotor for MI (complication)
* Keep affected leg extended
Term
Coronary arteriography
Definition
* radiopaque dye- examination of the coronary arteries
* allergies (iodine/ seafood)
* flushing of face or throat irritation
* assess the insertion site for bleeding, peripheral pulses, pressure dressing 4 to 8 hours and bedrest.
Term
Digital subtraction angiography
Definition
invasice procedure using a computer system fluoroscopy with image intensifier (carotid and cerebral arteries)
*Baseline neurologic examination before cerebral angiography.
*after- drink 1 qt fluid
Term
Echocardiography
Definition
Noninvasive
echoes from sound waves
(lie still)
Term
Exercise testing (stress)
Definition
Noninvasive test
study of electrical activity and ischemic evens during perscribed levels of exercise.
* withhold food/fluids espeically those that contain caffeine for 1 hour before the test.
Term
Nuclear cardiology
Definition
Visual examination of the heart using radioisotopes
* myocardial perfusion and contractility
* lie still
Term
Hemodynamic monitoring
Definition
Invasive- balloon-tipped, flow-directed catheter in the pulmonary artery.
* monitor the pressure tracings and record readings
Term
AGB
Definition
Allens test
Assess: tissue oxygenation, ventilation, and acid-base status
Maintain pressure to the site for at least 5 minutes or longer
Term
Venography
Definition
Visualization of veins (IV)
* DVT or imcompetent valves
* Withhold food and fluids after midnight.
* allergies- iodine
* flushing face/ throat irritation
* well hydrated
Term
Pulse oximetry
Definition
*fingertip, ear lobe, or toe
* interfere with light transmission nail polish.
Term
risk for cardiovascular disorders
Modifiable
Definition
Smoking,Diet, Hypertension, Hypercholesterolemia, Obesity, Physical inactivity, Emotional stress
Term
risk for cardiovascular disorders (Nonmodifiable risk factors)
Definition
Gender, Family hisotyr, Personal history, ethncity, race, age
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