| Term | Definition |
|---|
| Atherosclerosis | is a hardening of an artery specifically due to an atheromatous plaque. |
| • Arteriosclerosis | is any hardening (and loss of elasticity) of arterioles (small arteries), |
| CORONARY ARTERY DISEASE | : is a progressive disease and patients may be asymptomatic for many years of they may develop chronic stable chest pain syndromes. |
| • Collateral circulation | is when an area of tissue or an organ has a number of different pathways for blood to reach it. |
| Non Modifiable Risk Factors | age, gender, race, genetic inheritance |
| Modifiable Risk Factors: | hyperlipidemia,HTN, smoking, sedentary lifestyle, obesity, diabetes, stress |
| NON-INVASIVE DIAGNOSTIC TESTS | chest x-ray, ekg, stress test(treadmill), nuclear imaging, pet scan, echocardiogram, transesophageal echo (tee) |
| ST depression | myocardial ischemia |
| ST elevation | heart attack |
| INVASIVE TESTS | thalliun stress test, cardiac catheterization |
| thallium stress test | Looks at myocardial perfusion during exercise |
| Cardiac catheterization | Looks at coronary arteries for patency or blockage |
| potassium | 3.5-5.0 |
| BUN | 10-30 |
| Na | 135-145 |
| Ca | 9-11 |
| Creatinine | 0.5-1.5 |
| RBC | m-4.7-6.1, F-4.2-5.4 |
| Hgb` | m-14-18, F-12-16 |
| Hct | m-42-52, F-37-47 |
| Cholesterol | 140-200mg/dl |
| Triglycerides | 140-190 mg/dl |
| HDL | M-37-70, F-40 -88 mg/dl |
| LDL | <130mg/dl |
| cardiac, BP AND Diabetic held | 12-48 hours prior to Thallium stress test |
| AVOID caffeine products for | 36 hours before thallium stress test |
| Pre- Cardiac Catheterization nursing actions | consent form, check allergies to iodine, start IV, check blood work, routine pre-op prep, assess and mark distal pulses |
| complications of cardiac cath | ventricular dysrhythmias, pneumothrax, allergic reaction to the dye, thrombophlebitis, bleeding, infection |
| treat allergic reaction to iodine | IV Epinephrine |
| Thrombophlebitis of vein used for procedure | must check distal pulses post cardiac cath. |
| Post Cardiac Catheterization | VS protocol, Bedrest protocol, check dressing for bleeding, assess distal pulses, assess pain, routine post procedure care |
Combine with other sets
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