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23 Cards in this Set

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  • Back
What are the unmodifiable risk factors for cardiovasular disease
Family history, Age, Gender
What are the modifiable risk factors for cardiovasular disease
Cholesterol, obesity, smoking, lack of exercise, uncontrolled diabetes, contraceptives, stress
What are some indications of cardiovasular disease when looking at skin
Color, check nailbeds, capillary refill
How does a nurse asses Heart Rate w/pt. with potential cardiovascular disease
Check the Apical/radial pulse, if there is a pulse deficit, quality/lack of, pulse in extremeties
How does a nurse asses respirations w/pt. with potential cardiovascular disease
Note the rate, depth, and description, and dyspnea may indicate pulmonary congestion
How does a nurse asses blood pressure with a pt. w/possible cardiovascular disease
lying, sitting and standing 2mins apart, bilaterally, check for increase at same time everyday over three days
How does a nurse asses a pt. for pain w/possible cardiovascular disease
Ask: type, location, duration, intensity, and discription. Ask what pt. was doing durring time of pain and radiation
How does a nurse asses edema of a pt. w/possible cardiovascular disease
Location of the edema (feet, fingers, face), is it normal, severity, when it occurs
How does a nurse asses a pt's mental status and what may it indicate
Lack of O2 could cause a pt. to become anxious, confusion with lack of O2.
What are the lab tests for a pt. with cardiovascular disease
CBC, Prothrombin time, cardiac enzymes, cholesterol, blood cultures,
What is a major enzyme that may indicated a MI
Troponin
What is the normal numbers for HDL, LDL, VLDL
HDL>35 mg/dL
LDL<135 mg/dL
VLDL 50-150 mg/dL
What are some non-Invasive cardiovasular testing
X-ray, EKG, Exercise stress test, Echocardiogram, ambulatory EKG
What does the x-ray indicate
size,shape, contour, and location of heart, bacterial infection
What does an EKG indicate
Electrical activity: rate, rhythm, conduction problems
What may a exercise stress test indicate
cardiac action during exercise, cold spots if taken with Thallium
What may an Echocardiogram indicate
size, shape and motion of cardiac structures. Also indicate left ventricle,CHF, pericardial effusions, murmurs abnormal flow
What may an Ambulatory EKG (halter monitor) indicate
Heart activity over a 24hr period but need activity log with it
What are some invasive dx testing for cardiac patients
Cardiac catheterization and Pulmonary Artery Wedge Pressures
How does cardiac catherization work
catheter threaded through vessel to heart to allow visualization or blood sampling; rt side vein lt side artery
What are the nursing implications for a pt. with cardiac catherization
Check v.s frequently, hematoma, pressure and ice, bedrest
What does a CVP (central venous prssure test indicate
monitors venous pressure, CHF, by way of a catheter into the subclavian vein into the right atrium
What does a Pulmonary artey wedge pressure test
A catheter is threaded into the pumonary artery to measure the left ventricular function during diastole