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nursing - cardiovascular
general cardio issues
32
Nursing
Undergraduate 1
10/11/2009

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Cards

Term
normal range heart rate
Definition
60-80 bpm
Term
normal range : RBC lab
Definition
3.6-5.4
Term
normal range : hemoglobin Hgb
Definition
12-17 g/dl
Term
normal range : hemocrit Hct
Definition
36-52%
Term
normal range : WBC
Definition
4-10 for an adult
Term
ischemia
Definition
pain in legs
Term
claudication
Definition
intermittent cramps, esp in exercise such as in calf muscles
Term
causes Heart Failure
Definition
Coronary Artery Disease & MI (most common)
Hypertension
Valvular heart disease
congenital heart disease
alcohol abuse chronic
diabetes DM
Term
symptoms Left Sided HF
Definition
- SOB
- Rales or Crackles
- Orthopnea
- difficulty laying supine
Term
symptoms Right Side HF
Definition
dependent edema
Term
symptoms Right Sided HF
Definition
Jugular Vein Distention
Term
dyspnea
Definition
SoB
Term
symptoms BOTH sides Heart Failure
Definition
confusion
chronic cough
weight gain
night wander
weakness
anorexia
Term
HF - treatment options (7)
Definition
Bed rest w/head elevated
TEDS
lower Na intake
Oxygen
Pt education
Medication
Surgery
Term
inotropic
Definition
affects the force with which the heart muscle contracts
Term
chronotropic
Definition
slows speed heart rate
Term
dromotropic
Definition
lowers electrical conduct of heart
Term
digoxin toxicity signs/symptoms (9)
Definition
- nausea
- anorexia
- diarreaha
- confusion
- excessive salivation
- lethargy
- headache
- blurred or color vision
- bradycardia
Term
bradycardia
Definition
hr <60 bpm
Term
venous insufficiency
Definition
incompetent veins in legs
Term
venous stasis
Definition
blood pools in legs, edema; darkened color extremity; distended veins
Term
venous stasis: nursing care goal
Definition
avoid amputation, with client returning to previous level function
Term
venous insufficiency: complications (3)
Definition
varicose veins
venous thromboembolism
venous stasis ulcer
Term
vericose veins: treatments
Definition
elevate affected limb, exercise, TEDS
Term
venous thromboembolism : symptoms
Definition
edema
warmth and redness over affected area
positive Homan's sign
Term
Homan's sign
Definition
pain in the calf or popliteal region with examiner's abrupt dorsiflexion of the patient's foot at the ankle while the knee is flexed to 90 degrees
Term
venous thromboembolism : Tx (9)
Definition
- do not massage
- bed rest
- elevate limb
- TEDs
- analgesics
- surgery
- warm compress
- anticoagulants
- prevention
Term
venous stasis ulcer : caused by
Definition
difference between venous and arterial insufficiency
Term
hypertension defined by __ values
Definition
>140/90 persistent
Term
risk factors hypertension HTN
Definition
obesity
inactivity
Na+ intake
family history
high alcohol intake
NSAIDs
caffiene/stimulants
high cholesterol
diabetes
stress, smoking, age, race
Term
HTN : symptoms
Definition
asymptomatic
elevated BUN
diziness, confusion, restlessnes
severe: awake with dull headache, impaired memory, disorient, slow tremors, epitaxis
Term
HTN: treatments
Definition
- monitor bp
- diet DASH
- weight
- exercise
- restrict Na and alcohol, nicotine
- stress mgmt
- meds
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