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19 Cards in this Set
- Front
- Back
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prevention venous insufficiency |
elevate TED hose or elastic stocking avoid garters pneumatic compression devices subcu heparin |
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PC deep vein thrombosis |
describes a person experiencing venous clot formation |
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general interventions PC deep vein thrombosis |
anti-emboli stockings anticoagulant elevated discourage smoking administer analgesics for pain ROM exercises to promote venous return ambulate asap avoid prolonged chair sitting i&o |
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evaluation PC deep vein thrombosis |
no occurence of dvt client states 3 ways to prevent post op complications thrombus has not moved to lungs |
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pc pulmonary embolism |
person experiencing or at risk of obstruction of one or more pulmonary arteries from a blood clot or air fat embolus |
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defining characteristics of pc pulmonary embolism |
dyspnea and tachypnea pleuritic chest pain anxiety fever tachycardia cough diaphoresis hemoptysis syncope |
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general interventions of pc pulmonary embolism |
prevent dvt prepare for lung scans 02 therapy heparin monitor labs cbc |
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factors that influence development of hypertension |
increased sympathetic nervous system activity increased reabsorption of sodium, chloride and water by kidneys increased activity of the renin-angitensin system decreased vasodilatation insulin resistance age |
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assessment of hypertension |
history and physical exam lab tests (urinalysis, blood chem, cholesterol levels) ecg |
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potential nursing diagnoses hypertension |
knowledge deficit regarding the relation of the treatment regimen and control of the disease process
noncompliance with therapeutic regimen related to side effects of prescribed therapy |
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goals hypertension |
patient understanding of disease process patient understanding of treatment regimen patient participation in self care absence of complications |
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interventions hypertension |
patient teaching support treatment regimen consult pharmacologic therapy control rather than cure lifestyle changes |
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decreased cardiac output |
failure of the myocardium to eject volume of blood to the systemic or pulmonary vascular systems |
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left sided heart failure |
left ventricle unable to pump out enough blood
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left sided heart failure patient presents |
with low o2 symptoms---low activity tolerance, breathlessness, dizziness, tissue hypoxia |
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right side heart failure |
right ventricle unable to pump out enough blood
blood backs up into superior and inferior vena cava |
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impaired valve function |
if heart valves have either stenosis or degeneration it causes impaired cardiac output |
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stenosis |
heart has to use stronger force to eject the blood out and past the narrowed valve opening |
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degeneration |
as the myocardium contracts, some of the blood leaks backward into the atria |
