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80 Cards in this Set

  • Front
  • Back
Eager to change behavior
Attributes success to their own efforts
Internal locus of control
May to difficult to change the behavior
Attribute to luck or fate
External locus of control
AHA recommends vigorous activity ______ times a week for _______ minutes
3-4 for 30-60 minutes
Adult learning principle
Intellect, facts and knowledge
Cognitive
Adult learning principle
Changing the attitudes or interests towards on object or idea
Affective
Adult learning principle
Mastering the physical skills
Psychomotor
Identifies the goals and objectives that target changes specific to age, gender, race to improve health of the US over the next decade
Healthy People 2010
Syndrome that deals with HTN and mineralcorticoid disorders
Lidell's Syndrome
Law that deals with electrical changes
Ohm's Law
Volume load on ventricule bwfore contraction
NTG will reduce
Preload
Pressure heart has to overcome to eject blood
Afterload
Program cell death
Apoptosis
Thick muscle which can cause arrythmias.
Increase myocardial oxygen demand
Left Ventricular Hypertrophy
Effective BP managment, weight reduction, sodium restricition and aerobid exercise are treatment measures for what
Left ventricular Hypertrophy
Clotting factor that increases as a result of smoking
Fibrinogen
Congenital narrowing of the aorta
Characterized by higher pressures in the arms than legs
Coarctation of the aorta
Med that reduces peripheral vascular resistance.
Used for Stage 1 HTN
Thiazides
Diuretic known for causing gynecomastia due to hormone affects
ALdactone/Spironolactone
Medication that reduces the myocardial oxygen consumption and will decrease the workload of the heart
Beta Blocker
Med used for HTN, HF, MI, DM and protects the lining of the heart vessels
ACE inhibitors
Med that blocks angiotension II receptor site that is used for HTN, DM, MI, HF
ARB
Medication that dilates the peripheral arteries and slows AV conduction time
Calcium Channel Blocker
Med used for Angina, HTN, HF that will cause systemic venous and arterial dilatation
Nitrates
Medication administered only IV and used emergently to reduce afterload and treat HTN
Nitroprusside
Patients with this tend to have morning headaches that clear in 30 minutes due to increased CO2 levels
Sleep Apnea
"Lub"
Closure of mitral and tricuspid valves
Systole
S1
"dub"
Closure of aortic and pulmonic valves
Diastole
S2
"kentucky" or "slashing in"
Newly diagnosed patients with Heart Failure tend to have this
S3
Tennessee or "a stiff wall"
Pushes extra volume of blood into an already full ventricle
S4
You will not hear this extra heart sound in Atrial Fib if the patient has
S4
Friction rub
ST elevation in all leads
Pericarditis
Swishing sound over artery
Listen with bell of stethoscope
Bruit
Order of assessment
Inspect-->palpation--> percuss---> ausculatation
to do good and prevent harm
Beneficence
Clinician refrain from inflicting harm
Non-maleficence
Tell the truth
Respect privacy
If asked, help make decisions
Autonomy
Principle of fairness
Do not discriminate
Justice
Obligates RN to be truthful with patients and peers
(ie. Disclose errors)
Veracity
Behavioral change model that maintains restrictions
(ie. do not look up patients you are not caring for)
Privacy
Behavioral change model that has you avoid sharing information
Condfidentialty
Behvioral change model that has faithfulness in keeping a promise
(i.e do not judge person based on thier inability to pay)
Fidelity
Not obligatory
< 1% change treatment will be effective
Quantitative Futility
Treatment will be effective, but not beneficial
FOr example: PEG placed in CVA patietn will not give patietn back their neuro function
Qualitative Futility
Unintentional tort
Negligence
Civil action for financial damages for injury to a person, property or reputation
Tort
Purposeful action to harm
Intentional tort
Human Behavior change theory
Pyramid of survival
Motivation of behavior
Maslows heirarchy of needs
Human Behavior Theory
Perceived self-efficacy determines the behavior
Social cognitive theory
Places the responsibility on individual and why people use disease prevention
Health Belief Model
Focus on helath seeking, rather than disease preventing behaviors
Health Promotion Model
Transtheoretical Model
No intent to change
precontemplation
Transtheoretical Model
Acknowledges the need to change but is ambivalent
Contemplation
Transtheoretical Model
Begins to explore ways to change, usually within the next month
Preparation
Transtheoretical Model
Changes the behavior
action
Transtheoretical Model
Continues to change, but can relapse
Maintenance
Transtheoretical Model
Revise self image and former dehavior is no longer a threat
Termination
Leadership Style
Uses power to influence group
Autocratic
Leadership Style
Uses democratic process to encourage participation of members
Partcipative
Leadership Style
Minimal guidance and little feedback/does not like change
Laissez-Faire
Leadership Style
Status quo/only deals with problems as they occur
Transactional
Leadership Style
Has a vision and commitment to organizational goals
Transformational
Expressed in words, not numbers
Gain insight through meaning
QUalitative methods
Variables and numbers
Quantative Methods
Researcher concludes that there is a difference, when there really is not
Type 1 Error
Researcher concludes that there is NOT a difference, when in fact there is
Type 2 Error
Blockage surrounds all parts of the intimal layer
Concentric Lesion
Blockage surrounds a portion of the intimal layer
Eccentric Lesion
#1 modifiable risk factor
Smoking
Ask, Advise, Assess, Assist, Arrange
5 As to Quitting smoking
If patient is on 2 anti-HTN meds, it is recommended to perform what test
Sleep study
Inflammatory marker associated with CVD and stroke
Hs-CRP
Endothelial toxin that is treated with Folate and Vitamin B
Homocysteine
May inhibit fibrinolysis,
Function is unknown
Treat with niacin
Lipoprotein (a)
These cholesterol levels are often elevated in DM, Obesity and alcoholics
Triglycerides
Those patients without the disease. Motivate the patients to adhere to risk reduction strategies
Primary Prevention
Aggressive treatment of all modifiable risks/ already have the disease
Secondary prevention
SBP 120-139
DBP 80-89
Prehyertension
SBp 140-159
DBP 90-99
Treatment= Thiazide
Stage 1 HTN
SBP > 160
DBP > 100
Treatment= 2 drug combo
Stage 2 HTN
This diet is high in potassium and low in sodium and used to treat HTN
DASH