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32 Cards in this Set
- Front
- Back
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A ____ measures the level of cholesterol in the blood.
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Lipid profile
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____ is good and means that there is a low cholesterol content and high protein.
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HDL
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___ is bad and means there is a high cholesterol content and low protein.
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LDL
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HDL takes cholesterol from ____ to ____.
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cells to liver
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LDL takes cholesterol from _____ to ______.
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liver to cells
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Client preparation for a Lipid profile is
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NPO 12hrs prior
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____ measures inflammation.
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C-Reactive Protein (CRP)
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A highly sensitive CRP is used for _____.
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cardiovascular risk assessment
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The purpose of an ____ is to provide information about HR, rhythm, myocardial ischemia and infarction.
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electrocardiogram
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With an electrocardiogram, electrodes are used to obtain a graphic representation of the heart's _______.
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electrical activity
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The purpose of an _____ is to visualize heart's chambers, wall motion and valves using sound waves.
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echocardiography
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There are 2 types of echocardiography tests:
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TTE and TEE
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With a ____ the transducer is placed on the anterior chest wall.
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TTE
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A ____ is the echocardiography test used when a person is obese or has severe COPD.
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TEE
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Nursing care for a client undergoing a TEE includes:
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-NPO prior to procedure
-IV access -NPO post procedure -Assess gag reflex |
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____ assists in diagnosing CHD.
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Exercise stress testing
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Types of exercise stress testing include
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treadmill and echo or nuclear.
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Nursing care for clients undergoing exercise stress test or a Stress ECHO include:
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-no tobacco
-instruct to inform staff of CP, SOB, palpitations -wear suitable clothes and shoes -can't use cane or walker |
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Stress ECHO combines the exercise test and the ECHO. Resting and stress images are compared to look for abnormalities in _____.
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heart wall motion.
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A nuclear stress test combines exercise test and nuclear imaging. During this, stress vs rest images are compared to evaluate ___ and detect ____ or _____.
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myocardial perfusion and detect ischemia or infarction.
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During a nuclear stress test, the results are ____ if the stress and rest images show myocardial perfusion is proportional to coronary artery blood flow.
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normal
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During a nuclear stress test, the results are ____ if there is decreased perfusion during stress vs. rest, areas of low blood flow, cold spots and fill on bottom rest images.
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ischemia
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During a nuclear stress test, if myocardial perfusion defects are seen during stress and rest and the cold spots remain cold, the person is diagnosed with a _____.
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infarction
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_____ is used to identify CHD and determine the best type of treatment (stent, CABG, etc...).
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Cardiac catheterization
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Pre-procedure nursing interventions for a patient undergoing cardiac catheterization are:
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-assess for allergies
-check lab values -NPO -check pulses distal to insertion site -VS -IV access -Informed consent |
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Post-procedure nursing interventions for a patient undergoing cardiac catheterization include:
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-assess/monitor site for bleeding
-VS -check distal pulses -drink fluids to flush kidneys |
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For a cardiac catheterization with a groin insertion the patient must lie ____ and the ____ must be in normal range.
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flat
INR |
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Pre-procedure nursing interventions for a patient undergoing Percutaneous Transluminal Coronary Angioplasty are:
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assess for allergies
-check lab values -NPO -check pulses distal to insertion site -VS -IV access -Informed consent |
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Post-procedure nursing interventions for a patient indergoing Percutaneous Transluminal Coronary Angioplasty are:
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-assess/monitor site for bleeding
-VS -check distal pulses -drink fluids to flush kidneys |
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Percutaneous Transluminal Coronary Angioplasty is also called a ______.
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ballook angioplasty
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A _____ allows us to unblock narrowed coronary arteries and assess and treat obstructions.
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percutaneous transluminal coronary angioplasty (PTCA)
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During a PTCA the catheter is inserted through the ___ or ____.
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arm or leg.
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