CORRECT Answers
Volume of blood ejected by the heart in one minute:
What is Cardiac output?
cardiac output = heart rate x stroke volume
, What is preload amount of blood in ventricles at end of diastole (Filling up the ventricle)
Decreased preload is decreased what C.O
What is afterload? Resistance the heart must overcome during systole. (We are pushing blood out)
Increase preload equals what? equals increased C.O
With HTN, are we going to have increased With HTN we are going to have increased afterload (because afterload is our
or decreased afterload resistance)
What type of medications can decrease Anti-HTN
our afterload?
12-lead ECG
What are the priority assessments for
Ask what the patients was doing
Angina
Ask if the pain was relieved with NTG
What is stable angina excerise induced chest pain relieved by rest or nitroglycerin
Initial phase of acute coronary syndrome
What is unstable angina Acute decrease in blood and precursor of an MI
Occurs at rest
MONA
What are the interventions of angina PCI??
Give NTG, always check BP first
Relieved with rest
How would we know if the patients angina
Pain is decreased(relief of pain)
improved
Check BP
Common S/E of NTG is HA (give Tylenol )
What are some patient teaching with Teach them how to take their NTG
angina Lifestyle changes (stop smoking, low cholesterol, low sat fats, low Na)
Smoking
DM
What are the risk factors for HTN Sedentary life style
DM
Excessive Na intake
DASH diet
Smoking cessation
What do we want to teach a patient who
Monitor BP @home
has HTN
Aerobic exercise
Anti-HTN meds (Do not stop abruptly, take at same time)
What is considered HTN crisis greater than 180 and greater than 120
How do we know if the treatment is Decrease BP
working for a patient who has HTN
Left sided heart failure
CKD
What are some complications of HTN
Stroke/aneurysm
HTN crisis
Diet high in fats
Smoking
DM
What are some risk factors CAD
HTN
obesity
Males >45yrs