Multidimensional Care 3 Final Exam || A+ Verified
Solutions.
Left sided heart failure S/S correct answers weakness, fatigue, pulmonary edema, SOB,
orthopnea
Right sided heart failure S/S correct answers peripheral edema, weight gain, enlarged liver, JVD,
increased thirst
Diagnosis of heart failure correct answers Echocardiogram
Labs: BNP, stress test, chest x-ray, BUN, CBC, creatinine
Heart failure patient teaching correct answers daily weight
low sodium
fluid restriction
diet and exercise
when to notify provider
Medications for heart failure correct answers ACE, ARBs, diuretics, aspirin, nitrates, beta
blocker
Risks of developing heart failure correct answers hypertension, diabetes, CAD, drinking,
smoking, obesity, sedentary lifestyle, mitral regurgitation
Valvular disease correct answers Mitral stenosis
Mitral regurgitation
Mitral prolapse
Aortic stenosis
Aortic regurgitation
Risk factors mitral injuries correct answers rheumatic fever
infective endocarditis
Valvular disease surgery correct answers valve replacement
balloon vulvoplasty
Valvular disease medications correct answers antibiotics for infection
beta blockers
diuretics
Valvular disease long term therapy correct answers anticoagulant therapy
antibiotics
diet and exercise
stay on meds
, Endocarditis correct answers inflammation of the inner lining of the heart
Endocarditis findings correct answers abnormal heart sounds
Pericarditis correct answers inflammation of the sac surrounding the heart
Pericarditis findings correct answers **chest pain**
pleural friction rub
Biggest risk of pericarditis correct answers cardiac tampanode
Coronary artery disease correct answers build up of plaque in coronary arteries
Acute coronary syndrome correct answers progression of plaque build up (completely occludes
or breaks off)
Ischemia correct answers lack of oxygen to tissue
Infarction correct answers death of tissue
Risk factors for CAD correct answers smoking, obesity, hypertension, diet, sedentary lifestyle,
diabetes
Angina correct answers Pain in the heart region caused by lack of oxygen
(oxygen demand of coronary muscle is higher than can be delivered)
Stable angina correct answers chest pain that occurs when a person is active or under severe
stress
Unstable angina correct answers chest pain that occurs while a person is at rest and not exerting
himself
Medication for angina correct answers Nitroglycerin
Nitroglycerin administration correct answers - do they take erectile dysfunction meds? DO NOT
GIVE
- monitor BP, every 5 minutes
- 1 sublingual tab every 5 minutes, up to 3 doses
- if pain does not go away with 3 tabs, give morphine
What does morphine do? correct answers decreases oxygen demand and relieves pain
S/S of coronary artery disease correct answers hypertension, diaphoretic, SOB, chest pain that
radiates (to arm or shoulder, jaw)
Solutions.
Left sided heart failure S/S correct answers weakness, fatigue, pulmonary edema, SOB,
orthopnea
Right sided heart failure S/S correct answers peripheral edema, weight gain, enlarged liver, JVD,
increased thirst
Diagnosis of heart failure correct answers Echocardiogram
Labs: BNP, stress test, chest x-ray, BUN, CBC, creatinine
Heart failure patient teaching correct answers daily weight
low sodium
fluid restriction
diet and exercise
when to notify provider
Medications for heart failure correct answers ACE, ARBs, diuretics, aspirin, nitrates, beta
blocker
Risks of developing heart failure correct answers hypertension, diabetes, CAD, drinking,
smoking, obesity, sedentary lifestyle, mitral regurgitation
Valvular disease correct answers Mitral stenosis
Mitral regurgitation
Mitral prolapse
Aortic stenosis
Aortic regurgitation
Risk factors mitral injuries correct answers rheumatic fever
infective endocarditis
Valvular disease surgery correct answers valve replacement
balloon vulvoplasty
Valvular disease medications correct answers antibiotics for infection
beta blockers
diuretics
Valvular disease long term therapy correct answers anticoagulant therapy
antibiotics
diet and exercise
stay on meds
, Endocarditis correct answers inflammation of the inner lining of the heart
Endocarditis findings correct answers abnormal heart sounds
Pericarditis correct answers inflammation of the sac surrounding the heart
Pericarditis findings correct answers **chest pain**
pleural friction rub
Biggest risk of pericarditis correct answers cardiac tampanode
Coronary artery disease correct answers build up of plaque in coronary arteries
Acute coronary syndrome correct answers progression of plaque build up (completely occludes
or breaks off)
Ischemia correct answers lack of oxygen to tissue
Infarction correct answers death of tissue
Risk factors for CAD correct answers smoking, obesity, hypertension, diet, sedentary lifestyle,
diabetes
Angina correct answers Pain in the heart region caused by lack of oxygen
(oxygen demand of coronary muscle is higher than can be delivered)
Stable angina correct answers chest pain that occurs when a person is active or under severe
stress
Unstable angina correct answers chest pain that occurs while a person is at rest and not exerting
himself
Medication for angina correct answers Nitroglycerin
Nitroglycerin administration correct answers - do they take erectile dysfunction meds? DO NOT
GIVE
- monitor BP, every 5 minutes
- 1 sublingual tab every 5 minutes, up to 3 doses
- if pain does not go away with 3 tabs, give morphine
What does morphine do? correct answers decreases oxygen demand and relieves pain
S/S of coronary artery disease correct answers hypertension, diaphoretic, SOB, chest pain that
radiates (to arm or shoulder, jaw)
