6 Principles:CV
About this set
Created by:
monsterspot on May 2, 2012
Description:
CV
Heme
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24 terms
Terms | Definitions |
|---|---|
RAP: normal pressures | 0-8 mmHg |
RVP:normal pressures | RV systole: 15-28 mmHgRV diastole: 0-8mmHg 15-28/0-8 mmHg |
PAP:normal pressures | PA systole: 15-28 mmHgPA diastole:5-16 mmHg Mean: 10-22 mmHg |
PAWP:normal pressure | Mean: 6-12 mmHg |
Relative Contraindications for Cardiac Cath (6) | 1. Uncontrolled ventricular irritability2. Uncorrected HTN 3. Febrile Illness 4. Decompensated Heart Failure 5. Allergy to Contrast 6. Severe Renal Failure |
Greatest Mortality is associated with occulsion to which coronary vessel? | Left main disease |
What information does the Cath Report give you? | Summary of indications for procedureDescript of Cath itself Hemodynamic Data -Chamber pressures -CO Dexcription of: -Coronary Anat -Ventricular Function -Valvular Function |
What Makes a Patient HIGH RISK? (8) | 1. <1 or >70 years old2. Severity of Disease 3. Increased 10 Fold with: -Class IV ASA or NYHA -Left Main disease -EF<30%(or equal to) 4. Valvular heart disease 5. Renal Insuficiency 6. Insulin Dependent DM 7. Advanced peripheral or cerebral vascular disease 8. Severe Pulm Disease |
Indications for Heart Cath (6) | 1. Unstable Angina2. Postinfaction angina 3. Typical/atypical chest pain 4. positive exercise stress test 5. Positive Dipyridamole stress test 6. Wall motion abnormalities |
Which AANA standard covers the requirements for documentation of Patient Record? | Standard VI (6) |
What does standard VI of the AANA practice guide say? | "There shall be complete, accurate, and timely documentation of pertinent information on the patient's medical record." |
What is the purpose of Medical documentation? | 1. Facilitates comprhensive patient care2. Provides retrospective review of research data 3. Establishes a medical-legal record |
Treatment options for CHF | Cardiac Glycosides:DigoxinPhospodiesterase inhibitors:Amirinone, Milrinone (FTI card; there are others) |
Normal Hematocrit: Male Female OB | Male-40-54%Female-36-46% OB-30% |
Normal Hemoglobin: Male Female OB | Male-13.5-17g/dLFemale-12-15g/dL OB-11-12g/dL |
Critical Levels of Hematocrit and Hemoglobin | Hematocrit:-<15% can produce heart failure ->60% can cause spontaneous clotting Hemoglobin: -<5 Heart failure ->20 spontaneous clotting of capillaries |
How to prevent sickling with sickle cell patients | NormothermicMaintain fluid volume Maintain oxygenation-maintain 30% crit |
Normal Adult WBC count;Bands? WBC life span | 4,500-10,000Normal Bands:3-5% Life:13-20 days |
Neutrophils are associated with what condition | bacteria and stress |
Eosinophils associated with what condition | Allergic rxns |
Basophils are associated with what condition | Leukemia, hodgkin's disease |
Lymphocyte increased indicates what | Viral infectionsTB Lymphocytic leukemia Decreased in HIV and Immunosupression |
Normal Platelet count | 150,000-350,000<50,000-Bleeding <20,000-spontaneous bleeding You are told the number not the function with a CBC. Need a TEG for functional status |
Monocyte elevation indicative of what | TB, Malaria, Rocky Mountain Spotted Fever, |
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