Exam (elaborations)
Adult Health Exam 1 Cardiovascular
- Module
- Adult Health
- Institution
- Adult Health
Adult Health Exam 1 Cardiovascular
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Adult Health Exam 1Cardiovascular
Left sided heart failure - -1. Pnea, SOB
2. Crackles
3. Oliguria
4. Frothy Sputum
5. Displaced Apical Pulse (Hypertrophy)
-right sided heart failure - -1. Jungular Vein Distention
2. Ascending Dependent Edema
3. Weight Gain
4. Hepatomegaly (Liver Enlargement)
-Nursing Diagnoses for heart failure - -decreased cardiac output, excess
fluid volume
-Goals for heart failure - -Increase CO/perfusion, decrease congestion/fluid,
improve activity tolerance
-ACE inhibitors MOA - -reduce production of angiotensin, causing
vasodilation, excretion of sodium and water, retention of K
-ARBs mechanism of action - -Block angiotensin II receptors.
-Side effects of ACEs + Arbs - -hyperkalemia, hypotension, hypovolemia,
tachycardia, ACEs-- dry cough. angioedema
-A patient has heart failure, and a high dose of furosemide (Lasix) is
ordered. What suggests a favorable response to Lasix?
▪A. Decrease in level of consciousness and sleeping more
▪B. Respiratory rate decreases from 28/min to 20/min and the depth
increases
▪C. Increased congestion heard in breath sounds and complains of shortness
of breath
▪D. Urine output of 50 ml/4 hours and intake of 200 ml - -Respiratory rate
decreases from 28 min to 20 min and the depth increases
-▪The patient has been receiving spironolactone (Aldactone) 50 mg/day for
heart failure. The nurse should closely monitor the patient for which
condition?
▪A. hypokalemia
▪B. hyperkalemia
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