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Homan's sign - 🧠 ANSWER ✔✔To assess DVT. Client forcefully dorsiflexes
the foot. If pain is present, may indicate positive result. Warm, tender,
reddened, hardened area of calf indicates thrombophlebitis
Most dangerous heart arrhythmia - 🧠 ANSWER ✔✔Ventricular tachycardia.
Occurrence of 3 or more consecutive PVC's. May go as high as 140-
240BPM. Low BP, weak/absent pulses, body weakness, possible
unconsciousness. Treat immediately, otherwise possible v-fib
Fluid in pericardial space - 🧠 ANSWER ✔✔Some is normal as lubricant to
help pump effectively. If excess fluid, it is called pericardial effusion. S1 and
S2 will be muffled & hard to hear bc of the fluid
, DVT complications - 🧠 ANSWER ✔✔Can lead to fatal PE. Treatments
include anticoagulants. Preventative measures are ambulation, leg
exercises, antiembolism stockings or compression devices
Discharge teaching for thrombophlebitis - 🧠 ANSWER ✔✔Anticoagulant
such as coumadin. Drink 2-3 quarts of h2o daily, no crossed legs, elevate
legs while sitting, avoid sitting or standing long periods, wear support, shift
weight back and forth for circulation. Notify PCP asap if assumed DVT or
PE
Bradycardia - 🧠 ANSWER ✔✔HR 60 or lower. Causes include myocardial
ischemia, electrolyte imbalances, vagal stim, beta blockers, drug toxicity,
intracranial tumors, sleep, vomiting. Treatments: atropine. May require
pacemaker. Athletes usually not treated.
Tachycardia - 🧠 ANSWER ✔✔100-150BPM. Causes are stress, fever,
meds, pain, anemia, pericarditis, CHF, caffeine, tobacco. Treatments to
stop: meds, heart shock. Treatments to prevent: catheter ablation, meds,
pacemaker, defibrillator, surgery