Progressive Care Exam with Correct Answers 2024 Update

Progressive Care Exam with Correct Answers Pericarditis - Answer -Inflammation of the pericardium, CP that goes away w/ mvmt and relieved w/ NSAIDS; ST elevation; Sharp, stabbing CP Pericardial Effusion - Answer -Accumulation of fluid in the pericardium (the sac around the heart); complication of pericarditis; -SOB, orthopnea, tachycardia (sx of HF) -TX: NSAIDS---- Pericardiocentesis (depending on severity) Pericardiocentesis - Answer -surgical puncture to aspirate fluid from the sac surrounding the heart Cardiac Tamponade - Answer -acute compression of the heart caused by fluid accumulation in the pericardial cavity -s/sx: decreased CO, tachycardia, dyspea -ECHO -Pericardiocentesis Hallmark of tamponade: Beck's triade - Answer -Muffled heart sounds, Distended jugular neck veins, hypotension Carotid Endarterectomy - Answer -The surgical removal of the lining of a portion of clogged carotid artery leading to the brain. This is done to reduce the risk of a stroke caused by a disruption of blood flow to the brain. Carotid Endarterectomy RN - Answer --Frequent neuro checks -Close BP monitoring -Airway monitoring -Monitoring for hematoma formation IVC filter - Answer -Hemodynamically stable management for PE if anticoagulation contraindicated; recent trauma