What are non-modifiable risk factors for perfusion?
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Age
Race
Gender
Genetics
What are two examples of Ace inhibitors?
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Lisinopril & Enalapril
,What can we do if they are allergic to contrast dye?
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Push fluids, give benadryl, administer steroids the night before
Which three labs are cardiac?
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Creatine kinase
Troponin
Natriuretic peptides
What are the two types of left sided heart failure?
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Systolic heart failure
Diastolic heart failure
What are contraindications of Statins?
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Known allergy
Pregnancy
, Active liver disease
Increased liver enzymes
What about patients who have renal disease and receive contrast dye?
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Keep flushing the contrast out
Cardiac catheterization in the groin
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Bed rest for 4-6 hours
Keep the leg straight
Head of the bed 10 degrees
Watch for orthostatic hypotension!
Do not tell them when bed rest is over, gradually keep raising the head of
the bed.
Compare the pedal pulses and watch for bleeding.
*Glucophage must be held 24 hours prior and 48 hours after procedure.
What are antilipemics?
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They are used to lower lipid levels (triglycerides and cholesterol)
, What are the nursing implications for ACE's and ARB's?
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Vital signs
Labs
Rebound HTN (NO stopping cold turkey!)
Hypotension with first dose (ACE)
What are signs and symptoms of right sided heart failure?
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Peripheral edema
Hepatomegaly
Splenomegaly
Vascular congestion of GI tract (ascites)
Jugular vein distention
Lethargic
Irregular HR
Nocturia
Weight gain
Why is it important to teach the patient to report muscle pain while taking Statins?
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Muscle pain can lead to rhabdomyolysis, which can strain the kidney
causing acute failure and even death
Give this one a try later!
Age
Race
Gender
Genetics
What are two examples of Ace inhibitors?
Give this one a try later!
Lisinopril & Enalapril
,What can we do if they are allergic to contrast dye?
Give this one a try later!
Push fluids, give benadryl, administer steroids the night before
Which three labs are cardiac?
Give this one a try later!
Creatine kinase
Troponin
Natriuretic peptides
What are the two types of left sided heart failure?
Give this one a try later!
Systolic heart failure
Diastolic heart failure
What are contraindications of Statins?
Give this one a try later!
Known allergy
Pregnancy
, Active liver disease
Increased liver enzymes
What about patients who have renal disease and receive contrast dye?
Give this one a try later!
Keep flushing the contrast out
Cardiac catheterization in the groin
Give this one a try later!
Bed rest for 4-6 hours
Keep the leg straight
Head of the bed 10 degrees
Watch for orthostatic hypotension!
Do not tell them when bed rest is over, gradually keep raising the head of
the bed.
Compare the pedal pulses and watch for bleeding.
*Glucophage must be held 24 hours prior and 48 hours after procedure.
What are antilipemics?
Give this one a try later!
They are used to lower lipid levels (triglycerides and cholesterol)
, What are the nursing implications for ACE's and ARB's?
Give this one a try later!
Vital signs
Labs
Rebound HTN (NO stopping cold turkey!)
Hypotension with first dose (ACE)
What are signs and symptoms of right sided heart failure?
Give this one a try later!
Peripheral edema
Hepatomegaly
Splenomegaly
Vascular congestion of GI tract (ascites)
Jugular vein distention
Lethargic
Irregular HR
Nocturia
Weight gain
Why is it important to teach the patient to report muscle pain while taking Statins?
Give this one a try later!
Muscle pain can lead to rhabdomyolysis, which can strain the kidney
causing acute failure and even death
