Flashcards in Week 5 Deck (30)
women who have this disease are at greatest risk for cardiovascular problems
Atypical symptoms in women
-severe episodic fatigue and weakness causing decreased ability to perform ADLs
Chronic stable angina
-no pain at rest
-pain with physiological or emotional stress
-consistent location, duration, intensity
-relieved by rest and nitroglycerine
Resting angina (angina decubitus)
-pain at rest in supine position at the same time every day
-not affected by rest or exercise
-abrupt change in intensity/frequency of pain or decreased threshold of stimulus
-most common trigger is bursting of cholesterol filled plaques
-lasts longer than usual
-unrelieved by rest/nitroglycerin=higher risk for mi
-IMMEDIATE MEDICAL ATTN!
-awakens person from sleep with same sensation experienced during exertion
-associated with underlying CHF
-unusual symptoms (toothache, earache) related to physical or emotional exertion
-rest and nitro decrease symptoms
Prinzmetals (variant) angina
s/s similar to typical but caused by coronary artery spasm rather than plaque buildup
-occurs at rest and in morning, cyclic, same time each day
Trigger points in obliques
-can mimic heart burn
Who is most likely to have a silent infarct?
-inflammation of the pericardium
-primary condition or secondary to disease/trauma
-acute or chronic
-increased HR and temp
-mimcs MI, but differentiated by pattern or relieving/aggravating factors
S/S left ventricular failure
-pulmonary congestion or respiratory distress
-breathlessness, exhaustion, LE edema
-paroxysmal nocturnal dyspnea
S/S right ventricular failure
-dependent edema in LEs
DVT risk factors
-women more than men
NSAIDS - monitor for?
-LE and abdominal swelling if combined with diuretics
Diuretics- monitor for?
Beta blockers - monitor for?
-PRE bc HR is unreliable
-excessive slowing of HR
Alpha 1 blockers - monitor for?
Ace inhibitors - monitor for?
-persistent dry cough
Ca channel blockers - monitor for?
Nitrates - monitor for?
-most common cardiac dysrrhythmia
-not immediately lethal
-can increase risk of heart failure and stroke
Risk factors for fibrillation
-previous heart attack
-rheumatic mitral stenosis
-normal in athletes or young adults
-usually a benign arrhythmia
If sinus bradycardia with S/S
-place in horizontal position
-s/S include weaknes, sweating, pallor, nausea, vomiting, distortion or dimming of vision
-physican referral only when chest pain, dyspnea, lightheadedness, hypotension occur
Transient ischemic attack
-blood supply to brain temporarily disrupted
-may last 5-20 mins, up to 24 hours
-progression of cerebrovascular disease
-without tx 10-20% will have a major stroke within 3 months, many within 48 hours
1st s/s of arterial disease
-hair loss on the toes