Cardiac vascular nursing Exam Q&A Latest

Cardiac vascular nursing Indication for coronary arthrectomy - lesions eudaimonistic - health is the expression of the max potential of the person Coronary arthrectomy - removes atherosclerotic plaque, debulking and smoothing the vessel wall percutaneous transluminal angioplasty of the LE - alternative to surgical intervention for patients with PAD. indications of PTA - sx of claudification that are severe; critical limb ischemia; in conjuction with surgical bypass surgery PTA of the carotid artery - nonsurgical approach to open a narrowed carotid artery for a pt with hemodynamically significant impairment of cerebral circulation indications for PTA of carotid artery - stenosis of the ICA exceeding 70%; recurrent stenosis; pt with increased operative risk PTA of the renal artery - nonsurgical approach to open a narrowed renal artery and alleviate renovascular HTN or improve renal function indications for PTA of the renal artery - renovascular HTN; renal transplant pt; renal insufficiency aortic and peripheral arterial bypass surgery - reroute blood flow around the peripheral stenosis or occlusion indications for aortic/peripheral arterial bypass surgery - aortoiliac disease; distal aortic occlusion; and critical limb ischemia with diffuse disease and long total occlusions carotid endarterectomy - surgical procedure with the opening of the carotid artery to remove obstructing and embolizing plaque indications for CEA - severe carotid stenosis; ulcerated or intermediate degree of stenosis; and more than 50% stenosis peripheral thromboembolectomy - a balloon catheter technique is used to remove arterial emboli and restore peripheral circulation water hammer (corrigan) pulse - rapidly rising and falling pulse associated with aortic insufficiency. transmits a tapping sensation pulsus parvus - low-amplitude pulse associated with stenosis or low EF pulsus tardus - slow rising pulse associated with aortic stenosis pulsus arternans - alternating strong and weaker beats in a regular rhythm associated with severe heart failure alternative for carotid endarterectomy - carotid stent how quickly should cardiac rehab start? - 1-2 weeks post procedure indications for a CABG - -To open blocked blood vessels -To relieve chest pain -To increase physical activity -To decrease risk for a heart attack what is considered "very heavy" activity - swimming what is considered "heavy" activity - jogging what is considered "light" activity - gardening what is considered "very light" activity - getting dressed SVN (society of vascular nursing) - model for nurses that want to achieve the highest level of professional knowledge in vascular nursing Pharmacogenomics - the study of how genetic inheritance affects the body's response to drugs four factors related to adherence - -system -provider -patient -regimen Anasarca - severe generalized edema Hypertensive urgency - a situation in which blood pressure is severely elevated but there is no evidence of target organ damage hypertensive emergency - a situation in which blood pressure is severely elevated and there is evidence of actual or probable target organ damage Signs of cardiac tamponade - Distended neck veins, hypotension, diminished heart sounds (Beck's triad); pulsus paradoxus National Prevention Strategy - increase the number of Americans who are healthy at every stage of life