case study Flashcards
(12 cards)
1
Q
troponin I & T indicates
A
the extent of infarction damage
2
Q
oxygen demand issue interventions
A
- rest, remove the trigger
- vasodilator (BP)
- morphine (pain)
- beta-blocker (HR, BP)
- ACE inhibitor (BP)
3
Q
oxygen supply issue interventions
A
- oxygen (if < 90%)
- aspirin (anti-platelet aggregation)
- thrombolytic (clot lysis)
- anticoagulant (prevent clots)
- statin (decrease lipids)
4
Q
complications of venous thrombosis
A
- pulmonary embolism
- chronic venous occlusion
- valvular destruction
- venous obstruction
5
Q
what can valvular destruction cause
A
- venous ulcers
- increased venous pressure
- varicosities
6
Q
what can venous obstruction cause
A
- increased distal pressure
- fluid stasis
- edema
- venous gangrene
7
Q
6 indications for anticoagulants
A
- immobility
- Afib (dysrhythmia)
- post MI or stroke
- cancer
- mechanical heart valve
- history of VTE/PE
8
Q
what drugs share a risk of bleeding
A
- anticoagulants
- anti-platelets
- thrombolytics
9
Q
4 concerns with HTN
A
- target organ damage
- stress on the heart (L ventricle hypertrophy)
- stress on the vessels (atherosclerosis)
- nephropathy (renal disease)
10
Q
hypertensive crisis
A
DBP > 130
IV hydralazine to prevent target organ damage
11
Q
how does starvation impact diabetes
A
triggers cortisol secretion which blunts the insulin response
12
Q
what is a normal HgbA1C
A
< 6%
