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MEDICAL-SURGICAL CMS - CARDIOVASCULAR SYSTEM 2024/2025 (100% verified)
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MEDICAL-SURGICAL CMS - CARDIOVASCULAR SYSTEM 2024/2025 (100% verified)
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MEDICAL-SURGICAL CMS -CARDIOVASCULAR SYSTEM
CORONARY ANGIOGRAM (CARDIAC CATH) - POST PROCEDURE
check insertion site for bleeding
check extremity distal to puncture site
- pulses
- cap refill
- temperature
- color
take vital signs
- q15 min x 4 (first hour)
- q30 min x 2 (second hour)
- q60 min x 4 (hourly for 4 hours after)
patient lies flat in bed with legs straight for 4-6 hours after procedure
CILOSTAZOL (PLETAL)
anti-platelet medication
inhibits aggregation of platelets
Brainpower
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CILOSTAZOL (PLETAL) - INDICATIONS
Rx for the treatment of intermittent claudication in clients with peripheral arterial disease
(PAD)
,symptoms usually improve within 2-4 weeks of therapy
SICKLE CELL ANEMIA - COMPLICATION TO MONITOR FOR
iron toxicity
clients with SCD have increased risk of developing hemosiderosis that occurs secondary to
repeat blood transfusions
CARDIAC ENZYMES
released in the bloodstream in response to ischemia in heart muscle
troponin I is most specific
CREATINE KINASE MB ISOENZYME (CK-MB)
more sensitive to myocardium
should be 0% of total CK
- range: 30 - 170 units/L
detectable 3-6 hours following MI
elevated for 2-3 days
TROPONIN-T
should be less than 0.1 ng/L
detectable 2-3 hours following MI
elevated for 10-14 days
TROPONIN-I
should be less than 0.03 ng/L
detectable 2-3 hours following MI
elevated for 7-10 days
MYOGLOBIN
can be elevated due to heart damage or skeletal muscle damage
, should be less than 90 mcg/L
elevated for 24 hours
CHOLESTEROL LEVELS - TOTAL CHOLESTEROL
less than 200 mg/dL
CHOLESTEROL LEVELS - HIGH DENSITY LIPOPROTEIN (HDL)
women
greater than 55 mg/dL
men
greater than 45 mg/dL
CHOLESTEROL LEVELS - LOW DENSITY LIPOPROTEIN (LDL)
less than 130 mg/dL
CHOLESTEROL LEVELS - TRIGLYCERIDES
women
35 - 135 mg/dL
men
40 - 160 mg/dL
HEMODYNAMIC MONITORING
involves special indwelling catheters
provides information about...
- blood volume/perfusion
- fluid status
- how well the heart is pumping
HEART RATE
number of beats per minute
CARDIAC OUTPUT
amount of blood pumped by the left ventricle each minute
CARDIAC INDEX
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