Exam 2 Review Flashcards

1
Q

In pts with CHF, what position should be avoided to minimize the preload on a failing heart?

A

Supine with LE elevation

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2
Q

A patient who is status post surgical repair of a right hip fracture is at risk for thrombus formation, and potentially pulmonary emboli. What intervention would be best recommended to this patient following discharge home to prevent a DVT.

A

Regular ambulation throughout the day

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3
Q

What is most associated with good prognosis post MI

A

Small infarction size with increase in scar formation

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4
Q

If atherosclerosis is diagnosed in the carotid arteries, what other arteries may also be atherosclerotic secondary to the nature of the disease?

A
  • coronary arteries
  • renal arteries
  • peripheral arteries
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5
Q

Signs and symptoms of CHF

A

Dyspnea on exertion
Orthopedist
Paroxysmal nocturnal dyspnea

NOT BRADYPNEA

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6
Q

Exam finding most likely seen in LE of a patient with a diagnosis of intermittent CLAUDICATION

A

Muscle atrophy

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7
Q

If a patient is diagnosed with the left lower extremity DVT, which of the following signs and symptoms would most likely be seen in his lower extremity?

A

Pitting edema and tenderness

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8
Q

A patient performing low-level exercise reports, angina that’s not typical of what they’ve previously experienced while doing the same level of activity. What type of angina is this?

A

Unstable Angina

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9
Q

Extreme caution must be utilized in treating a pt with CHF and an ____

A

Ejection fraction of 10%

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10
Q

47-year-old man with a history of hypertension and diabetes. Presents with crushing chest pain that began 40 minutes ago. He also reports diaphoresis and radiation of pain into his L arm. Which lab markers is most specific in diagnosing his condition?

A

Troponin

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11
Q

Systolic heart failure

A

Smaller weaker muscle —> pumps less blood

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12
Q

Diastolic Heart Failure

A

Larger thicker muscle —> pumps LESS blood

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13
Q

R Sided Heart Failure

A

Edema back up in LE and system

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14
Q

L sided Heart Failure

A

Edema backup in lungs

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15
Q

T or F: early mobilization minimizes the risk of VTE according to the CGPs

A

TRUE

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16
Q

Which of the following is true when a valve is incompetent

A

It is the same as a regurgitant valve

17
Q

In which New York heart association functional class is the patient only comfortable at rest

A

Class III

18
Q

Why might someone living with heart failure decompensation?

A
  • taking meds inconsistently
  • developing anemia from poor nutrition
  • eating high salt and drinking too many fluids
  • an illness like pneumonia increases demand
19
Q

Why are oxygen, lasix, and nitroglycerine prescribed in the ER when a pt is in heart failure

A
  • they call decrease workload on the heart
20
Q

What surgical procedure provides a mechanical assist to the heart in pumping blood?

A

IABP (intra-aortic)

21
Q

What lab result has the highest risk for CAD and atherosclerosis

A

Total cholesterol 250
LDL 170
HDL 35

All three of these levels are in the RED ZONE

22
Q

T or F: every 20mmHg increase of systolic BP doubles the risk of CVD

A

True!

23
Q

Common S&S of cardiac ISCHEMIA in WOMEN

A
  • unusual fatigue or indigestion
24
Q

STEMI vs NON STEMI

A

A STEMI is usually from a total occlusion of an artery

25
Q

Which medications are used in emergency management of MI from coronary artery occlusion to maintain and restore blood flow?

A

Thrombolytic
Heparin