Daance Module 2 study guide

Daance Module 2 study guide 4 key medical history questions - Current medical conditions/under physician care Prior hospitalizations/ surgeries Current meds Allergies & reactions 8 review systems - General, Skin, Cardiovascular, Pulmonary, Gastrointestinal, Genitourinary, Neurologic, skeletal Mallampati Classification - 1 Visualize soft palate, fauces, uvula, anterior and posterior pillars 2 Visualize soft palate, fauces, uvula 3 Visualize soft palate and base of uvula 4 no soft palate visualized Fasting - 8 hrs- no fatty, fried food and meat 6 hrs- light meal and liquid- toast 2 hrs- clear liquids Classify sedation per pt - 1 Healthy for all 2 mild systemic disturbance ( smoker) 3 severe systemic disease/disturbance managed by medications. Consult with physician 4 Pt has life threatening systemic disease 5 pt moribund - surgery in despiration Angina PEctoris - pain in chest bec of inadequatecoronary circulation, and flow of o2 in heart. Relieved by vasodilator drugs- nitroglycerine atherosclerosis - hardening of arteries Thromosis - larger clot totally occludes artery treatment for severe ischemic heart disease - coronary bypass and angioplasties angiplasties - changing shape of occluded blood vessel and squashing plaque. stent places to keep shape. pt on antiplatelet drugs (1-2 yrs) Ischemic heart disease & acute coronary syndrome - diease with blood flow in coronary arteries & decreasing blood flow into ischemia Myocardial infaction - result from severe deficient coronary arterial blood supply to myocardium - resulting in necrosis. Treat with Thrombolitics 1-2 hrs post attack. no surgery 6-8 wks post rheumatic heart diease - bacteria from strep throat infects and damages valves- mitral valve. back flow of blood= murmer mitral valve prolapse - mvp= upward, redundant motion of valve leafeletsinto left atrium. Hypothryoidism/ heridetory antibiotic prophylaxis - prevents subacute bacteriam endocarditis. damage to heart valves/ systemic infection prosthetic valves post op - anticoagulants, prophylactic antibiotics hypertension - above 120/80 controlling rate and force - antihypertensive- Beta Blockers (adgernic blocking) ending in "olol" dilate vasculature - antihypertensive- Lisinopril, valsartin control volume of blood - antihypertensives- Diuretics - exert effects of kidneys and decrease vasculature volume. Lasix, HATS congestive heart failure - CHF= hearts inability to pump blood peripherally. meds increase forces of contractions. LEeft sided heart failure - fails to pump out to circulation. Blood backs up into lungs. High BP. Fluid leaks into lungs = sob right sided heart failure - fails to pump blood to lungs= blood backs up into peripheral. Edema, as