MDC III Final Exam Study Guide: Multidimensional care
111 Final Exam: Questions & Answers: Updated A+
Score Solution
Neurovascular checks - ANSWERpain, pallor, paresthesia, paralysis, pulselessness,
pociothermia
Discharge on sickle cell - ANSWEReducate on avoiding future crisis by staying
hydrated, rest, no smoking, avoid stress, extreme exercises
What does stress do to the vessels when we are stressed out? -
ANSWERvasoconstriction
what do you see with regular anemia - ANSWERlow hgb/hct, fatigue, pallor, anxiety,
tachycardia, low O2, and intolerance to cold
how to treat anemia - ANSWERIron-take with vitamin C, can cause constipation, iron
rich foods
what do you see with L heart failure - ANSWERCrackles, wheezing, pink-frothy
sputum, fatigue, orthopnea, dyspnea, coughing at night
How to prevent coughing attack in HF - ANSWERplace pillow behind patient
loop diuretics - ANSWERFurosemide (Lasix)
monitor K+/Na,
dehydration
BP
give IV push slow over 1 minutes
A/E: Tinnitus
Thiazide diuretics - ANSWERHydrochlorothiazide (HCTZ)
Potassium sparing diuretics - ANSWERSpironolactone
Monitor K+ intake
how do we know if they are taking diuretics - ANSWERcheck weight daily
what do you see with decreased cardiac output - ANSWERconfusion, hypotension,
tachycardia
patient with heart failure what do we teach before discharge - ANSWERmonitor
weight daily, medication adherence, diet modifications, limits activity but stay active,
avoid NSAIDs
, patient comes in and what labs do you monitor - ANSWERBNP- if elevated order
diuretics.
BNP - ANSWERmeasures vasoconstriction, show that the heart is stressed and HF is
worsening and have more fluid
how do you know the difference between L and R - ANSWERR will have fluid in the
body
what else can lead to HF - ANSWERHTN, valve disorders, drugs, CAD, DM, Afib
Mitral valve disorders - ANSWERMitral on L
Can lead to L sided HF
Predispose to mitral valve stenosis - ANSWERRheumatic fever
what is mitral valve stenosis - ANSWERthickening/hardening of the valve which
causes narrowing
what are you going to see in mitral valve stenosis - ANSWERAFIB, turbulence, fluid
back up, decreased CO
fatigue, low bp, orthopnea, poor turgor, and difficulty breathing
treatment for mitral valve stenosis - ANSWERvalve replacement or repair,
anticoagulants, balloon valvuloplasty
what do you educate your patient who has prosthetic mitral valve - ANSWERwill be
on anticoagulants forever
decreased cardiac output, what do the vitals look like - ANSWERdecreased bp,
increased HR
tachycardia, hypotension
end stage heart failure what is their last treatment - ANSWERheart transplant
educate on rejection signs, med adherance, will be on immunosuppresants
what will you see with mitral regurgitation - ANSWERHigh pitched holosystolic
murmur, decreased HR, r sided HF (JVD, edema)
R sided HF vitals - ANSWERhypertension, bounding pulses
if we have tachycardia what is the best drug - ANSWERbeta blockers
Hypertension - ANSWERACE are first responders
ARBs are 2nd responders
111 Final Exam: Questions & Answers: Updated A+
Score Solution
Neurovascular checks - ANSWERpain, pallor, paresthesia, paralysis, pulselessness,
pociothermia
Discharge on sickle cell - ANSWEReducate on avoiding future crisis by staying
hydrated, rest, no smoking, avoid stress, extreme exercises
What does stress do to the vessels when we are stressed out? -
ANSWERvasoconstriction
what do you see with regular anemia - ANSWERlow hgb/hct, fatigue, pallor, anxiety,
tachycardia, low O2, and intolerance to cold
how to treat anemia - ANSWERIron-take with vitamin C, can cause constipation, iron
rich foods
what do you see with L heart failure - ANSWERCrackles, wheezing, pink-frothy
sputum, fatigue, orthopnea, dyspnea, coughing at night
How to prevent coughing attack in HF - ANSWERplace pillow behind patient
loop diuretics - ANSWERFurosemide (Lasix)
monitor K+/Na,
dehydration
BP
give IV push slow over 1 minutes
A/E: Tinnitus
Thiazide diuretics - ANSWERHydrochlorothiazide (HCTZ)
Potassium sparing diuretics - ANSWERSpironolactone
Monitor K+ intake
how do we know if they are taking diuretics - ANSWERcheck weight daily
what do you see with decreased cardiac output - ANSWERconfusion, hypotension,
tachycardia
patient with heart failure what do we teach before discharge - ANSWERmonitor
weight daily, medication adherence, diet modifications, limits activity but stay active,
avoid NSAIDs
, patient comes in and what labs do you monitor - ANSWERBNP- if elevated order
diuretics.
BNP - ANSWERmeasures vasoconstriction, show that the heart is stressed and HF is
worsening and have more fluid
how do you know the difference between L and R - ANSWERR will have fluid in the
body
what else can lead to HF - ANSWERHTN, valve disorders, drugs, CAD, DM, Afib
Mitral valve disorders - ANSWERMitral on L
Can lead to L sided HF
Predispose to mitral valve stenosis - ANSWERRheumatic fever
what is mitral valve stenosis - ANSWERthickening/hardening of the valve which
causes narrowing
what are you going to see in mitral valve stenosis - ANSWERAFIB, turbulence, fluid
back up, decreased CO
fatigue, low bp, orthopnea, poor turgor, and difficulty breathing
treatment for mitral valve stenosis - ANSWERvalve replacement or repair,
anticoagulants, balloon valvuloplasty
what do you educate your patient who has prosthetic mitral valve - ANSWERwill be
on anticoagulants forever
decreased cardiac output, what do the vitals look like - ANSWERdecreased bp,
increased HR
tachycardia, hypotension
end stage heart failure what is their last treatment - ANSWERheart transplant
educate on rejection signs, med adherance, will be on immunosuppresants
what will you see with mitral regurgitation - ANSWERHigh pitched holosystolic
murmur, decreased HR, r sided HF (JVD, edema)
R sided HF vitals - ANSWERhypertension, bounding pulses
if we have tachycardia what is the best drug - ANSWERbeta blockers
Hypertension - ANSWERACE are first responders
ARBs are 2nd responders
