End in "pril". Used to prevent kidney damage, prevent remodeling of heart, and
reduce BP.
Give this one a try later!
ACEs
Low numbers good, high bad. A is good, D is bad.
Give this one a try later!
HF classifications
,Body tries to use carbs, then protein, then fat.
Diagnostic: nutritional assessment, BMI, reduced albumin, prealbumin, CBC low
(anemia, can't make RBCs), decreased lymphocytes, low iron folic acid, hyperkalemia,
increased LFTs, BUN, creatinine.
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Starvation
+1 is slight: rapidly returns to normal
+2 : normal in 10-15 sec
+3: normal in 1-2 min
+4: normal in 2-5 min
Give this one a try later!
Edema scale
HOB at least 30 degrees.
Confirm initial placement with X-ray, pH testing best, air bolts still used. Look at color
and amount of residual, chef insertion length regularly.
Check residual every 4 hr, and return to patient.
If residual greater than 250 mL, often hold or decrease tube feeding.
Don't check residual on J tubes.
Flush with at least 30 mL every 4 hr.
Stomach pH less than 4.
Jejunum pH greater than 6.
Use 15mL water with each med.
Change feeding bag every 24 hr. Sterile formula no greater than 8 hr.
, Refeeding syndrome: check electrolytes and VS frequently.
Give this one a try later!
Enteral feeding
Infection inside the heart, usually of the heart valves.
IV drug users common!
Flu like symptoms, low grade fever (101-102).
Vegetations can break off to form emboli!
Left heart valves- clogs in brain (stroke), kidney (flank pain), spleen (sharp LUQ pain).
Blood thinner won't help.
S/S: flu symptoms, arthralgias, murmurs, splinter hemorrhages, petechiae, osler's
nodes, Jane way' lesions.
Need antibiotics before dental/ surgical procedures!
Notify MD if temp elevated (101.5)
Drug therapy: IV antibiotics, antipyretic, analgesics, rest/ fluids.
Give this one a try later!
Infective endocarditis
Backs up to lungs, pulmonary edema. Pleural effusion. Crackles in lungs. More
common than right. DOE, SOB, PND, nonproductive cough, pink frothy sputum,
orthopnea, pulmonary crackles, fa IgE, weakness, activity intolerance, dry cough,
nocturnal cough, S3 and S4, dizziness syncope, palpitations/ tachycardia, nocturia,
pale/cyanosis, displaced PMI, anxiety, depression.
Give this one a try later!
reduce BP.
Give this one a try later!
ACEs
Low numbers good, high bad. A is good, D is bad.
Give this one a try later!
HF classifications
,Body tries to use carbs, then protein, then fat.
Diagnostic: nutritional assessment, BMI, reduced albumin, prealbumin, CBC low
(anemia, can't make RBCs), decreased lymphocytes, low iron folic acid, hyperkalemia,
increased LFTs, BUN, creatinine.
Give this one a try later!
Starvation
+1 is slight: rapidly returns to normal
+2 : normal in 10-15 sec
+3: normal in 1-2 min
+4: normal in 2-5 min
Give this one a try later!
Edema scale
HOB at least 30 degrees.
Confirm initial placement with X-ray, pH testing best, air bolts still used. Look at color
and amount of residual, chef insertion length regularly.
Check residual every 4 hr, and return to patient.
If residual greater than 250 mL, often hold or decrease tube feeding.
Don't check residual on J tubes.
Flush with at least 30 mL every 4 hr.
Stomach pH less than 4.
Jejunum pH greater than 6.
Use 15mL water with each med.
Change feeding bag every 24 hr. Sterile formula no greater than 8 hr.
, Refeeding syndrome: check electrolytes and VS frequently.
Give this one a try later!
Enteral feeding
Infection inside the heart, usually of the heart valves.
IV drug users common!
Flu like symptoms, low grade fever (101-102).
Vegetations can break off to form emboli!
Left heart valves- clogs in brain (stroke), kidney (flank pain), spleen (sharp LUQ pain).
Blood thinner won't help.
S/S: flu symptoms, arthralgias, murmurs, splinter hemorrhages, petechiae, osler's
nodes, Jane way' lesions.
Need antibiotics before dental/ surgical procedures!
Notify MD if temp elevated (101.5)
Drug therapy: IV antibiotics, antipyretic, analgesics, rest/ fluids.
Give this one a try later!
Infective endocarditis
Backs up to lungs, pulmonary edema. Pleural effusion. Crackles in lungs. More
common than right. DOE, SOB, PND, nonproductive cough, pink frothy sputum,
orthopnea, pulmonary crackles, fa IgE, weakness, activity intolerance, dry cough,
nocturnal cough, S3 and S4, dizziness syncope, palpitations/ tachycardia, nocturia,
pale/cyanosis, displaced PMI, anxiety, depression.
Give this one a try later!
