Med/surg #4 Sem 6

Front 1

Infective Endocarditis
Sub-acute Form

Back 1

Anticipate the insertion of a long-term IV catheter

Front 2

Echocardiography in Infective Endocarditis

Back 2

Teach the pt about this as it is useful in detecting the presence of the pericardial effusions

Front 3

Murmur in most patients

Back 3

New or changing- aortic and mitral valve most commonly affected

Front 4

Manifestations secondary to embolism

Back 4

Most importand to communicate to the health care provider is sudden onset of flank pain (Embolism)

Front 5

Infective Endocarditis: Dentist

Back 5

As the pt 'Have you been to the dentist lately?

Front 6

Infective Endocarditis: Diagnostic Studies

Back 6

FIRST draw a WBC with differential, then
Blood cultures- 2 separate sites drawn 30 minutes apart

Front 7

Mitral Valve
Stenosis:Exertional Dyspnea

Back 7

most important for the nurse to assess for complaints of SOB

Front 8

Mitral Valve prolapse: OTC meds

Back 8

Also avoid OTC medications that contain stimulant drugs

Front 9

Mitral Valve Replacement: Labs

Back 9

with mitral valve replacement with mechanical valve instruct patient need for frequent laboratory blood testing

Front 10

After having a Mirtal Valve Replacement with a mechanical valve: Dentist

Back 10

Will need prophylactic antibiotics when having dental procedures

Front 11

Mechanical valve replacement: Anticoagulants

Back 11

Will need lifelong anticoagulant therapy is needed

Front 12

A few days after an acute MI a pt complains of stabbing chest pain that increases with deep breathing:

Back 12

Auscultate the heart sounds first

Front 13

Nursing dx of actue pain related to inflammatory process position the patient:

Back 13

in Fowler's position, leaning forward on the over bed table

Front 14

Incidence of rhematic fever is decreased by

Back 14

treatment of streptococcal infections with antibiotics

Front 15

Appropriate Nursing Dx for Rheumatic Fever and Heart Disease

Back 15

Activity intolerance related to arthralgia

Front 16

Uncontrolled hypertension

Back 16

Only modifiable factor of AAA (Abdominal Aortic Aneurysm)

Front 17

Ask pt if having difficulty swallowing with a AAA

Back 17

could have pressure on the esophogus

Front 18

Post Op Monitoring AAA

Back 18

If Output less than 30mL/hr get BUN

Front 19

Post Op Monitoring AAA: Loose Bloody Stools

Back 19

May indicate intestinal ischemia or infarction and should be reported immedialty

Front 20

Potential complications of Endovascular graft procedure

Back 20

Renal Artery Occlusion

Front 21

Post Op graft Procedure: Monitoring

Back 21

If absent pedal pulses, check the pre op data for a baseline before reporting, could be normal for that person

Front 22

Pt c/o Sudden severe pain in anteriror part of chest, Describes a "sharp and "worst ever" pain

Back 22

Assess this pt FIRST, needs RAPID intervention

Front 23

Experiance nursing assistive personnel

Back 23

can be delegated to help a pt to use a pillow to split while coughing (After the nurse has done the teaching)