Perfusion Exam With Latest Updated Solutions 2024

Perfusion Exam With Latest Updated Solutions 2024 Perfusion A&P - correct answer.-promote perfusion of blood thru body - cary cellular wastes to excretory organs - promote return of blood to heart for oxygenation Perfusion Assessment - correct answer.- Health history History of present illness past medical history family history functional health patterns (nutrition, sleep, activity, sexuality, stress, personal habits) --- weight loss/gain, special diets -sleep apnea, dyspnea, fatigue, orthopnea - sexual difficulty - sedentary lifestyle, active, or activity intolerance - caffeine use, alcohol, tobacco, illicit drugs - stress- coping response ADL's Height and weight Medications--- ALL - current list of prescriptions - OTC- decongestants, cold meds, nasal sprays, vitamins, laxatives - CAM- garlic, fish oil, Curcumin Risk Factors - correct answer.Non modifiable - age, family history, gender, race Modifiable - smoking -obesity - dyslipidemia - stress - sedentary life style - modifiable medical conditions- HTN, DM, Metabolic syndrome Signs and Symptoms - correct pain/discomfort - location - radiation - onset - duration - rating - descriptors - causes- Acute coronary syndrome, Inflammatory heart disorders, chest pain non cardiac issue, leg pain VS- are they normal SOB/dyspnea/DOE edema/weight gain palpitations fatigue/weakness dizziness/syncope/fainting auscultate heart sounds- s1-s2 Blood pressure - correct answer.Mean arterial pressure pulsus paradoxus pulse pressure orthostatic measurement Mean Arterial pressure - correct answer.-Average pressure -taking systolic and diastolic pressures into consideration -MAP of at least 65mmHg= required for adequate perfusion Pulsus Paradoxus - correct answer.- Systolic BP falls greater than 10mmHg on INSPIRATIONS - Can indicate excessive fluid in the pericardial sac - Restricts normal heart contraction- seen in pericarditis/endocarditis Pulse Pressure - correct answer.- Systolic BP- diastolic BP= pulse pressure - normal range is 30 to 40mmHg - Increasing pulse pressure= arteriosclerosis and exercise - Decreasing pulse pressure= hemorrhage, hypovolemia and shock - BP 120/80 PP= 120-80= 40 Orthostatic Measurements - correct answer.- include measuring the BP and HR - HR in three positions- lying or supine, sitting and dangling feet if pt can tolerate, and standing - Orthostatic VS are positive if: - SBP decreases greater than 10mmHg- 20mmHg and/or - HR increases greater than 15 to 20 and/or - observation of patient's condition with position changes can also indicate a positive orthostatic response, such as ℅ dizziness, sudden cool and clammy skin, or diaphoresis Pulses - correct nt or absent quality/symmetry