NR 341 CMS Exam Part 2

What are medications for angina and MI? - Answer- MONA (ONAM is correct order) + beta blocker Important nursing considerations for a patient that had a cardiac catheterization - Answer- -HOB no higher than 30 degrees -Keep the affected extremity straight -Stay on bed rest for 4-8 hrs -If pt coughs, hold pressure over site -Inc. fluids to help excrete dye When meds are prescribed to a patient upon discharge who has had a cardiac catheterization? - Answer- Aspirin and clopidogrel (antiplatelet meds) What is the purpose of a CABG? - Answer- To revascularize the heart Common complications following CABG - Answer- -Hypothermia -Bleeding -Bradycardia (treated with a transvenous pacemaker) What does a low CVP mean? - Answer- The patient needs more volume What medications are typically prescribed to a patient following a CABG? - Answer- -Beta blockers -ACE inhibitors -Statins What is it called if the PR interval is longer than normal (norm = 0.12-0.2)? - Answer- First-degree AV block (delay in conduction from SA node to purkinje fibers) Education for a patient with a pacemaker - Answer- -Report HR lower than the set amount -Avoid high output electric generators -Avoid MRI -Carry pacemaker card with them at all times -It is safe to use microwave ovens -Do not use cell phones on the same side the pacemaker is in -Do not move arm above shoulder for about 2 weeks following procedure How long does a pacemaker last? - Answer- It depends on how often the patient needs to use the pacemaker (usually lasts from 5-10 years) A patient has a