MED SURG 201 PALS QUIZ 2

MED SURG 201 PALS QUIZ 2MED SURG 201 PALS QUIZ 2 • Lab Values o HR: 60-100BPM o Stroke volume: the volume of blood pumped from the left ventricle per beat. Stroke volume is calculated using measurements of ventricle volumes from an echocardiogram and subtracting the volume of the blood in the ventricle at the end of a beat (called end-systolic volume) from the volume of blood just prior to the beat (called end-diastolic volume). End-Systolic volume – end-Diastolic volume, volume ejected w each heartbeat, SV: amount of blood pumped from left ventricle per beat • Heart rate: contraction of heart in a min 60-100 • HF is indicated: w dyspnea, elevated hBNP o hBNP <100=no HF, 100-300 HF is present, >300mild HF, >600 moderate HF, >900 severe HF o quiz1; hypokalemia can cause shallow respiration, dyspnea o Q 2. Pt with HF, refused to eat and complaining of her nausea and vomiting. What do you do first? Assess vitals • Nursing care for HF pt: 10 o Monitor weight and I&O o Assess vital signs: BP, SO2 o High fowler position o Rest until pt is stable o Check ABG and electrolytes> potassium if use diuretics Conserve energy during care and ADLs Emotional support Admin prescribed O2/ 2L o Assess med toxicity> digoxin toxicity: o Maintain dietary restriction fluid and sodium restriction • Right sided HF Cause: inadequate right cardiac output systemic venous congestion peripheral edema • Risk factors RHF Left sided HF Right ventricular MI o Pulmonary problems > COPD & pulmonary fibrosis • Expected findings: Q 3select all JVD, ascending dependent edema (leg, ankle, sacrum), Weight gain Tachypnea due to respiratory distress, persistent cough, orthopnea polyuria at rest nocturia, abnormal abdominal distension (ascites)