UWorld Cardiac Final - Nuclei Review Cardiac Nursing-Med Surg. Comprehensive Quick-Content to Guarantee Passing the UWorld Cardiac Final Exam.
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U World Cardiac final - nuclei review cardiac Nursing- Med Surg deep vein thrombosis (DVT) risk factors for DVT (age >60, being hospitalized and in bed for 3 days • ? Cardiogenic shock C ardiomyopathy is a group of diseases in which the heart muscle (myocardium) has a Failure to capture from the permanent pacemaker Failure to capture appears on the cardiac monitor as pacemaker spikes that are not . Endovascular abdominal aortic aneurysm repair minimally invasive procedure that involves the placement of a suture less aortic graft An aneurysm is an outpouching or dilation of a vessel wall. An abdominal aneurysm of the midline. Educational objective: The nurse should listen for a bruit with the bell of the stethoscope over the periumbilical Acute pericarditis The most common cause is a recent viral infection. It is an inflammation of the visceral Atrial fibrillation (AF) common dysrhythmia after cardiac surgery. It is characterized by a Holter monitor continuously records a client's electrocardiogram rhythm for 24-48 hours. Procedure for measurement of orthostatic BP 1. The DASH diet is often suggested for clients to reduce hypertension as this diet: • Peripheral Artery Disease (PAD reduces tissue perfusion and can cause ischemic pain of the lower extremities • Pericardial Effusion signs and symptoms (narrowed pulse pressure, hypotension, and jugular venous Aortic Stenosis narrowing of the aortic valve, which obstructs blood flow from the left ventricle to the . Central Venous Pressure (CVP) CVP is a measurement of right ventricular preload (volume within the ventricle at the Hypertensive Crisis Life-threatening emergency due to the possibility of severe organ damage. Myocardial Infarctions Women, the elderly, and clients with a history of diabetes may not have the classic Mitral Valve Regurgitation Chronic mitral valve regurgitation is often asymptomatic, but many clients eventually Cardiac catheterization Cardiac catheterization uses IV contrast to assess for artery obstruction. Complications i jugular venous distension (JVD) Angina Pectoris Chest pain brought on by myocardial ischemia (decreased blood flow to the heart Coronary Arteriogram Client have nothing by mouth for 6-12 hours prior to the procedure and have an IV line Chronic Congestive Heart Failure Crackles usually heard on inspiration and indicate the presence of pulmonary congestion (left-sided failure) Increased jugular venous distention reflects an increase in pressure and volume in the Pharmacologic Nuclear Stress Test utilizes vasodilators (adenosine, dipyridamole) to simulate exercise when clients are unable to tolerate continuous physical activity or when their target heart rate is not Murmurs indicate turbulent blood flow across diseased or malformed cardiac valves. They Raynaud phenomenon Raynaud phenomenon is a vasospastic disorder triggered by exposure to cold or Right-sided Heart Failure results from pulmonary hypertension, right ventricular myocardial infarction, or left- Left-sided Heart Failure Dyspnea, orthopnea, crackles, paroxysmal nocturnal dyspnea, displaced PMI, S3 sound . An infusion of an isotonic solution of 0.9% normal saline at 85 mL/h is contraindicated in Hypovolemic Shock Clinical manifestations of hypovolemic shock are associated with inadequate tissue Buerger's Disease a nonatherosclerotic vasculitis involving small to medium arteries and veins of the upper Peripheral artery disease arteries that have thickened, have lost elasticity due to calcification of the artery walls, Thrombolytic therapy aimed at stopping the infarction process, dissolving the thrombus in the coronary artery, absolute contraindications. BNP a peptide that causes natriuresis Torsades de Pointes a type of polymorphic ventricular tachycardia coupled with a prolonged QT interval; it is Hypokalemia Permanent Pacemaker client is sedated with propofol, on a mechanical ventilator, and is receiving enteral feeding via nasogastric tube. Acute Hemolytic Transfusion Reaction Over-the-counter nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen can Radiofrequency Catheter Ablation Radiofrequency ablation is performed through transvenous cardiac catheterization to Occasional premature ventricular contractions (PVCs) a. Occasional PVCs typically do not cause hemodynamic instability. The major side effects of thiazide diuretics include: • Hypokalemia (manifests as muscle cramps) • Hyponatremia (manifests as altered mental status and seizures) • Hyperuricemia (may worsen gout attacks) • Hyperglycemia (requires adjustment of diabetic medications) Clonidine is a highly potent antihypertensive. Show Less