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Exam (elaborations)

NURS 1027-Cardiac Conditions W-4 With Complete Solutions !!

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NURS 1027-Cardiac Conditions W-4 With Complete Solutions !!...

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NURS 1027-Cardiac Conditions W-4
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NURS 1027-Cardiac Conditions W-4

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Uploaded on
February 13, 2025
Number of pages
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Written in
2024/2025
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NURS 1027-Cardiac Conditions W-4 With Complete
Solutions 2025-2026!!

Health History:Do the following occur at rest or with activity?

Chest pain

Palpitations

Fatigue

Cough

Dyspnea

Leg pains or cramps

Edema of extremities

Fainting

Orthopnea

Anxiety

Weakness or numbness in arms



Pericarditis

inflammation of the pericardium



Pleuritic Pain

sharp, stabbing pain associated with breathing



Esophageal Pain

Heartburn (pyrosis), from reflux of gastric contents into esophagus

,Chest pain, from esophageal distention or esophageal spasms



Anxiety Pain

Precordial, below the left breast or across anterior chest



P in PQRST

Position/Location and Provocation;Questions to ask:"Where is the pain? Can you point
to it?" "What were you doing when the pain began?"



Q in PQRST

Quality and Quantity of pain; Question to ask:"How would you describe the pain?"

"Is it like the pain you had before?"

"Has the pain been constant?"



R in PQRST

Radiation/Relief; Questions to ask:"Can you feel the pain anywhere else?"

"Did anything make the pain better?"



S in PQRST

Severity of Symptoms; Questions to ask:"How would you rate the pain on a 0-10 scale
with 0 being no pain and 10 being the most amount of pain?"

"Did you notice any other symptoms with the pain?"



T in PQRST

Timing; Questions to ask:"How long ago did the pain start?"



Diagnostic Tests for Cardiovascular System:CBC

Complete Blood Count

, Diagnostic Tests for Cardiovascular System:INR

international normalized ratio



Diagnostic Tests for Cardiovascular System:Electrolytes

Monitor K if on diuretics (N=3.5-5.0)



Cholesterol: Fasting cholesterol

<5 mmol/L



Cholesterol: LDL (low density lipoprotein)

bad cholesterol-< 2.6 mmol/L ideal for people at risk of heart disease



Cholesterol: HDL (high density lipoproteins)

good cholesterol- >1.04 mmol/L (men); >1.3 mmol/L (women)



Cholesterol: Triglycerides

< 1.7 mmol/L



(Cardiac Diagnostic Tests)12 Lead ECG: (i.e. MI)

Recording of the electrical activity of the heart using 12 leads and Detect abnormal
electrical activity (arrhythmias) & cardiac damage



(Cardiac Diagnostic Tests)Holter Monitor: (i.e. angina)

Portable ECG worn by the patient to provide a continuous tracing over a period of time
(usually 48 hours).



(Cardiac Diagnostic Tests)Holter Monitor: (i.e. angina)

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