Progressive Care 2023, Exams of Nursing

Progressive Care 2023 Progressive Care 2023

Typology: Exams

2023/2024

Available from 10/19/2023

Beverlyn
Beverlyn 🇺🇸

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Progressive Care 2023
Pericarditis Inflammation of the pericardium, CP that goes away
w/ mvmt and relieved w/ NSAIDS; ST elevation; Sharp, stabbing CP
Pericardial Effusion Accumulation of fluid in the pericardium (the sac
around the heart); complication of pericarditis;
-SOB, orthopnea, tachycardia (sx of HF).
-TX: NSAIDS----> Pericardiocentesis (depending on severity)
Pericardiocentesis surgical puncture to aspirate fluid from the sac
surrounding the heart
Cardiac Tamponade acute compression of the heart caused by fluid
accumulation in the pericardial cavity/
-s/sx: decreased CO, tachycardia, dyspea
-ECHO
-Pericardiocentesis
Hallmark of tamponade: Beck's triade Muffled heart sounds, Distended
jugular neck veins, hypotension
Carotid Endarterectomy The surgical removal of the lining of a
portion of clogged carotid artery leading to the brain. This is done to
reduce the risk of a stroke caused by a disruption of blood flow to the
brain.
Carotid Endarterectomy RN -Frequent neuro checks
-Close BP monitoring
-Airway monitoring
-Monitoring for hematoma formation
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Pericarditis Inflammation of the pericardium, CP that goes away w/ mvmt and relieved w/ NSAIDS; ST elevation; Sharp, stabbing CP Pericardial Effusion Accumulation of fluid in the pericardium (the sac around the heart); complication of pericarditis; -SOB, orthopnea, tachycardia (sx of HF). -TX: NSAIDS----> Pericardiocentesis (depending on severity) Pericardiocentesis surgical puncture to aspirate fluid from the sac surrounding the heart Cardiac Tamponade acute compression of the heart caused by fluid accumulation in the pericardial cavity/ -s/sx: decreased CO, tachycardia, dyspea -ECHO -Pericardiocentesis Hallmark of tamponade: Beck's triade Muffled heart sounds, Distended jugular neck veins, hypotension Carotid Endarterectomy The surgical removal of the lining of a portion of clogged carotid artery leading to the brain. This is done to reduce the risk of a stroke caused by a disruption of blood flow to the brain. Carotid Endarterectomy RN -Frequent neuro checks -Close BP monitoring -Airway monitoring -Monitoring for hematoma formation

IVC filter Hemodynamically stable management for PE if anticoagulation contraindicated; recent trauma -Placed just below renal arteries Abdominal aortic aneurysmMonitor control BP Surgery/repair Emphysema (COPD breakdown) destruction of the alveoli, over time they become constricted and lose their ability to expand Bronchitis Increased mucous and inflammation; narrowing of bronchi, scar damage (becomes chronic after 3 cases of acute) Pulmonary Embolism A blood clot that breaks off from a large vein and travels to the blood vessels of the lung, causing obstruction of blood flow. Virchow's Triad Risk factors for PE: Stasis of Blood flow (immobility), hypercoagulability, injury or damage (postop pts), CA pt's, Hemothorax Blood in the pleural space Tx: Chest tube or IR/OR for embolization pneumothorax air in the pleural cavity caused by a puncture of the lung or chest wall; air between lung tissue and lining -Lung can't expand -Tx: Chest tube Tension pneumothorax A life-threatening collection of air within the pleural space; the volume and pressure have both collasped the involved lung and caused a shift of the mediastinal structures to the opposite side.

Stroke Volume The amount of blood ejected from the LV with each contraction Synchronized cardiovert Happens when a low energy electric shock using a sensor is delivered in synchrony with the ORS wave Preload The precontraction pressure in the heart as the volume of blood builds up.

  • as preload increases, so does CO. Starling's law The more the volume, the more it pumps out until you get to a point where it is overstretched Afterload The force or resistance against which the heart pumps. -The more we increase afterload (the resistance to which the heart has to pump against), the decrease in CO). MAP Average arterial pressure during a single cardiac cycle -65- STEMI -complete blockage (ASA/Nitro, Morphine, 12 lead) -ST elevation on ECG -Send to cath lab NSTEMI -partial occlusion (ASA/Nitro, Morphine, 12 lead) -ST depression or T wave inversion -Is troponin raised? -Yes - Non-STEMI- heparin and cath lab -No - Unstable angina - Imdur and stress test Troponin Released when cardiac damage

onset of 4-6 hours peak in 24 duration 5 days 0.3 diagnostic