After thrombolytic are administered, what needs to be watched? - ANS-Watch for signs
of bleeding
ASYSTOLE - ANS-
Describe a CABG - ANS-A Vein is taken out of the leg or artery out of an arm. It is
attached at the root of the aorta, and beyond the blockage to have blood flow to the
heart
Describe a paracentesis. - ANS--A procedure that is needed to get rid of the fluid in the
abdomen
-Have the pt. void before the procedure (ensures the bladder is out of the way and wont
get punctured)
-Patient is positioned in fowlers position in bed
Describe a post op CABG - ANS--rewarm slowly: if too quick- vasodilatation will occur
and BP will drop
-q15 min urinary output for 24 hrs
-patient must be sitting up!!
-maintain blood pressure and vitals
-Monitor hemodynamics
-Monitor for drainage!: *If more than 150 mL/hour call rapid!!!!*
Describe acute pancreatitis. - ANS-A serious and at times life threatening inflammation
of the pancreas. It is caused by premature ativation of excessive pancreatic enzymes
that destroy tissues and pancreatic cells (basically the pancreas starts digesting itself)
Describe an MI S/S of a female - ANS-indigestion, chronic fatigue, inability to "catch
their breath", aching, choking, strangling
, Describe chronic pancreatitis. - ANS-Progressive,destructive disease of the pancreas
that has remissions and exacerbation. Pain is not described as "boring" pain
Describe contraindications for thrombolytic therapy - ANS-Absolute
-Any prior intracranial hemorrhage
-Cerebral vascular lesion
-Known malignant intracranial neoplasm
-Ischemic stroke within 3 months
-Suspected aortic dissection
-Active bleeding
-Closed head or facial trauma with in 3 months
Relative
-Hx of poorly controlled HTN
-BP greater than 180/110
-Pregnancy
-Dementia, or other intracranial pathology
-CPR (10 minutes+) or major surgery within 3 wks
-Recent internal bleeding (2-4 weeks)
-Noncompressible vascular punctures
-Streptokinase 5 days ago or allergy to them
-Active peptic ulcer
-Anticoag use: Higher INR, higher bleeding risk
Describe dialysis disequilibrium syndrome - ANS--Life threatening! (occurs if fluid is
pulled off too fast)
-S/S: restless, headache, decreased LOC, seizures, coma
-Call a rapid immediately
-Give barbiturates and anticonvulsants
Describe dilated cardiomyopathy - ANS-The walls are very thin and everything is dilated
Describe hemodialysis - ANS--3x a week- 4-5 hours
-At risk for bleeding do to heparin
-Extremely fatigued post.
-Vitals and weight before and after
-Slight fever post is normal. Monitor.
Describe hypertrophic cardiomyopathy - ANS-the thickening of the heart muscle
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