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Nur 463 Chapter 24 Case Study
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This is a comprehensive and detailed case study on chapter 24; nursing care of patients with occlusive disorders for Nur 463
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CHAPTER 24Nursing Care of Patients With
Occlusive Cardiovascular Disorders
AUDIO CASE STUDY
Listen to the audio case study available on Davis Edge and then answer the following questions.
Kathy: Angina and Myocardial Infarction
1. What does the medication nitroglycerin do?
Nitroglycerin relaxes the blood vessels and increases the supply of oxygen and blood to the
heart reducing its work load.
2. How are patients taught to take nitroglycerin?
patients are taught to take nitroglycerin under the tongue or between the cheek and gums.
They are to let the tablet dissolve. If the pain does not ease up you can take another one after 5
minutes. Call 911.
3. What symptoms of a heart attack did Mrs. Gallegos have that women may experience without
crushing pain?
Mrs. Gallegos experienced Hypotension, pain in the jaw, and indigestion.
4. What treatment is ordered for Mrs. Gallegos at the hospital?
2L of oxygen, 12 lead EKG, IV nitroglycerine drip, balloon catheterization, morphine.
VOCABULARY
Match the term with its definition.
1. ___4__ Lymphangitis 1. Tortuous and bulging veins, usually in lower e
2. ____9_ Atherosclerosis 2. Procedure to compress plaque against wall of
3. __13___ Stenosis 3. Chest pain that increases in frequency and is n
4. ___10__ Ischemia 4. Inflammation of lymphatic channels
5. ___18__ Venous stasis ulcer 5. Chest pain caused by decreased blood supply
6. __16___ High-density lipoprotein 6. Obstructed blood flow in the coronary arteries
, 7. __12___ Collateral circulation 7. Chest pain that usually subsides with rest
8. __2___ Balloon angioplasty 8. Venospasms affecting digits with cold exposu
9. __5___ Angina pectoris 9. Plaque buildup inside arteries
10. __7___ Stable angina 10. Lack of sufficient blood supply
11. __3___ Unstable angina 11. A bulging or dilation of an artery
12. __1___ Varicose veins 12. Growth of blood vessels to compensate for bl
13. ___8__ Raynaud disease 13. Narrowing of a vessel
14. __11___ Aneurysm 14. Death of a portion of the myocardium
15. __14___ Myocardial infarction 15. A moving blood clot
16. __19___ Troponin I 16. Protective cholesterol
17. __15___ Embolism 17. A stationary blood clot
18. __17___ Thrombus 18. Skin breakdown from chronic venous insuffic
19. __20___ Intermittent claudication 19. Laboratory value that can reflect degree of da
20. ___6__ Coronary artery disease 20. Exertional calf pain that ceases with rest
ATHEROSCLEROSIS
Answer the following questions.
1. What is the pathophysiology of atherosclerosis?
Accumulation of lipids, and calcification within the arteries leading to narrowed arteries.
2. What are modifiable risk factors that contribute to atherosclerosis?
smoking, high cholesterol levels, high blood sugar levels, exercise, diet habits, blood
pressure
3. Develop a teaching plan for one of the modifiable risk factors for atherosclerosis.
a diet increasing the intake of vegetables, fruits, nuts, whole grains and fish, low sodium, low
cholesterol, avoid processed meats and avoid trans fats.
MYOCARDIAL INFARCTION
Find the 26 errors and insert the correct information.
Myocardial infarction (MI) is the results in the death of a portion of the pericardial sac heart
muscle occurring from a sudden partial or complete blockage caused by a blockage or spasm
of a coronary artery. When the patient has an MI, the affected part of the muscle becomes
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