and Correct Solutions Already Graded A+
Pt teaching before PTCA - CORRECT ANSWER-- Explain procedure: a balloon is inflated to
reduce the constriction in the artery
- Contrast is used, normally in femoral
- Pt is gonna feel a flush/warm everywhere when contrast is injected
- Pt should lay flat
- Pt will be sedated but awake
,- Pt should sign Informed consent for PTCA and a future CABG (Coronary Artery Bypass Grafting)
S/S of left heart failure - CORRECT ANSWER-Lungs (Respiratory problems)
Dyspnea, paroxysmal nocturnal dyspnea, cough, frothy-blood-tinged sputum, orthopnea, pulmonary
crackles, radiographic evidence of pulmonary vascular congestion with pleura effusion
ARF Causes - CORRECT ANSWER-Hemorrhage, trauma, infection, decreased cardiac output,
medications
ARF S/S - CORRECT ANSWER-mimics dehydration s/s, anorexia, h/a, edema, vomiting, nausea,
lethargy,
Malignan hypertension - CORRECT ANSWER-Is the most severe
S/S of Malignant hypertension - CORRECT ANSWER-- Diastolic >120
- Blurred vision
- Severe h/a
- High cholesterol
- Dyspnea
- History of hypertension
Beta blockers - CORRECT ANSWER-medication used to treat several different types of
conditions, including hypertension (high blood pressure), angina, some abnormal heart rhythms, heart
attack (myocardial infarction)
Beta blockers actions - CORRECT ANSWER-Decreases BP and HR blocking epinephrine and
nonepinephrine
Side effects of Beta blockers - CORRECT ANSWER-SOB (asthma like symptoms)
Weakness
, Dry mouth
Dizziness
H/A
Upset stomach
Common Beta blockers - CORRECT ANSWER-Metoprolol (Lopressor, Toprol-XL)
Propranolol (Inderal LA, InnoPran XL)
Atenolol (Tenormin) - CORRECT ANSWER-Medication for MI
Digoxin (Lanoxin, Digox) - CORRECT ANSWER-medication used for heart failure (hf)
Nursing consideration for Digoxin - CORRECT ANSWER-assess hr, if it's <60 hold the medicine
and call doctor
Nitroglycerin - CORRECT ANSWER-opens blood vessels, is used for chest pain (antiangina)
Administration of glycerin - CORRECT ANSWER-Sublingual, 1 pill q5min, maximum of three
pills, if pain continues call doctor, possible HA
PTCA - CORRECT ANSWER-Percutaneous
Transluminal
Coronary
Angioplastic
S/S of right heart failure - CORRECT ANSWER-Body (everything not related to lungs)