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Med-Surg Exam 2 jersey college questions and answers rated A+ 2024/2025
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Med-Surg Exam 2 jersey college questions and answers rated A+ 2024/2025
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Med-Surg Exam 2 jersey collegeAngina may be precipitated with the aid of ? - ANSeating a heavy meal
Exp: blood shunted to the GI place which decreases blood availability to the myocardium
places of chest pain? - ANStypically felt behind the sternum and can radiate to:neck, jaw,
shoulders, and alongside the inner component of the left arm.
What is the conventional locating of angina? - ANSit is relieved with relaxation or
nitroglycerine
Pt. Schooling for nitroglycerin? - ANS1. Preserve in a darkish bottle
2.Renew each 6 months
3.Place underneath tongue, never swallowed
4. Can take each 5 mins x 3 doses
five. Call 911 after the primary dose if ache isn't always relieved
decrease in cardiac output, expect the pulse to be? - ANSweak, thready pulse
symptoms of hypokalemia? - ANSmuscle weakness
fatigue
muscle cramps
constipation
inverted T waves and a U wave on ekg
metabolic syndrome will increase the risk of? - ANSheart disease
spironolactone is a potassium sparing diuretic that might? - ANSpotentiate fluid and
electrolyte imbalances ( if given with potassium supplements, hyperkalemia can arise)
how do guess-blockers paintings? End in -olol - ANSdecreases heart price and blood strain.
Mask the symptoms of hypoglycemia or get worse allergies due to bronchoconstriction
why should you keep away from discontinuing anti-hypertensives medications
unexpectedly? - ANSincrease chance for rebound high blood pressure
ACE inhibitors and Angiotensin 2 receptor blockers (ARBs) boom the hazard of? -
ANShyperkalemia
ACE inhibitors, how do they paintings? Leads to -pril - ANSstop angiotensin 1 from changing
to angiotensin 2 (powerful vasoconstrictor) thereby lowering total peripheral vascular
resistance and blood pressure
How to take a proper blood strain reading? - ANSinstruct pt. To now not devour or drink for
30 mins
,guide arm at coronary heart level
ensure each ft are flat on the floor
the target organs suffering from long standing high blood pressure? - ANSretinopathy
neuropathy
nephropathy
decrease in output could purpose what? - ANSdecrease in tissue perfusion which leads to
organ failure
Following a pulmonary artery stress analyzing you ought to deflate the balloon. Why? -
ANSto restore the blood drift thru the pulmonary artery
Straining with bowel movements isn't properly because? - ANSit triggers the valsalva
maneuver which increases intrathoracic pressure reducing the venous blood float to the
coronary heart and effects in lower cardiac output.
Exchange patients role slowly to prebent? - ANSorthostatic hypotension
Low significant venous stress ranges should indicates? - ANScould endorse dehydration or
overdiuresis
growth important venous pressure should advise? - ANSheart failure
boom important venous strain offers a dimension of what? - ANSmeasurement of the
quantity of blood that again to the right aspect of the coronary heart (2-6 mm Hg)
Hemodynamic tracking is finished in which? - ANSin ICU and allows for direct cardiac
tracking
homocysteine - ANSdamage the endothelial lining of the arteries
growth risk for thrombus formation and lead to stroke, CAD, and peripheral artery ailment
the radiology method ECHOCARDIOGRAM suggests what approximately the heart? -
ANSdirection of blood waft
coronary heart shape and size
ventricular function
ejection fraction
the cause of a cardiac strain take a look at? - ANSto decide the hearts ability to reply to
boom oxygen call for
this protein triggers sodium excretion and a lower in volume? - ANSBrain Natriuretic Peptide
(BNP)
those protein degrees growth as ventricular stress growth in order to rid the frame of excess
fluid? - ANSBrain Natriuretic Peptide (BNP)
,BNP level greater than _____ indicates what? - ANSBNP levels extra than one hundred
suggest coronary heart failure
evaluation medium is contraindicated in what form of sufferers? - ANSpatients who're
allergic to iodine, shellfish or seafood
sufferers who are pregnant or has multiplied creatinine ranges
assessment medium is? - ANSnephrotoxic
Premature Ventricular Contractions could trigger ? - ANSlife threatening dysrthymias
therapeutic INR stages for coumadin whilst used for a-fib is? - ANSINR 2-3
problem that can arise following cardiac catherization? - ANSfatal dysrhythmias
Adventitious sound heard of the lower airway narrowing? - ANSwheezing
fluid accumulation inside the decrease basis of the lungs, you may pay attention what
sound? - ANScrackles
what propose boom pressure and filling volumes within the ventricles? - ANSJVD
Peripheral edema
hepatomegaly
scrotal edema
shortness of breath
crackles
S3 in older adults are enormous and might suggest? - ANSheart failure
Valve problems make a contribution to? - ANSturbulent blood float and heart murmurs
what is an MI? - ANSblockages or constriction of the coronary arteries
unresolved ischemia results in? - ANSnecrosis of myocardial cells and the discharge of
enzymes (CK-MB creatine) and proteins (Troponin, Troponin 1, kinase, and myoglobin) into
the blood circulate
blood glide through the proper atrium is completed thru? - ANSthe inferior and advanced
vena cava
this initiates the impulse that causes atrial contraction? - ANSSinostrial (SA) node
the SA node is observed by what wave on the the EKG? - ANSthe P wave
Depolorization outcomes in? - ANScardiac contraction
Repolarization consequences in? - ANSreturn of the chambers to a resting kingdom
, Cardiac output? - ANStotal amount of blood that leaves the ventricles in a single minute.
Normal is 4-6 L
what issues will affect the cardiac output? - ANSdisorders that impair the coronary heart
charge or stroke volume
stimulation of this apprehensive system results in what? - ANSparasympathetic fearful
device reasons the vagal nerve innervation and slowing of coronary heart fee
Average stroke volume is? - ANS60-130 ml
medications that impair venous return may want to lead to ______ and a decrease in what? -
ANScould cause a decrease in preolad and an decrease in cardiac output
S1 sound is the remaining of what valves? - ANSatrioventricular (AV) valves
S2 sound is the closing of what valves? - ANSpulmonic valves
a decrease in pulse strain recommend a lower in __________ and ________. - ANSa
decrease in stroke quantity and cardiac output
an boom in pulse stress will increase ______ and _______? - ANSincrease in stroke volume
and cardiac output
ST phase despair propose? - ANSmyocardial ischemia
ST phase elevation recommend? - ANSmyocardial infarction
what does an multiplied c-reactive protein recommend? - ANSinflammatiion
1 lb is equal to what number of calroies - ANS3500 calories
why is a cardiac catherization carried out? - ANSfor a dx of coronary artery disorder and
extent of the coronary artery occlusion
Diets inside the prevention and management of cardiovascular disorder? - ANSdecrease
sodium, decrease fats, and decrease cholesterol
what's the pulse strain? - ANSreflection of the stroke quantity and cardiac output. Systolic
minus diastolic
persistent discount of oxygenation and vitamins to the skin consequences in? - ANShear
loss
dry scaling skin
ulcerations
brittle nails
examine pulse the use of what sort of palpation? - ANSlight palpation
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