Exam (elaborations)
AHN 447 Exam 3 with Verified Solutions
- Course
- Institution
AHN 447 Exam 3 with Verified Solutions
[Show more]
Content preview
AHN 447 Exam 3 with Verified SolutionsWhat is used to determine risk for a DVT? Correct Ans-Padua prediction scale; 4 or more
points indicated high risk
What diagnostic procedure is used fro a DVT? Correct Ans-venous ultrasound
What is the medical management for a DVT? Correct Ans-- extremity elevation
- anticoagulation therapy (heparin, warfarin)
What is the goal for PTT levels in a pt with a DVT? How often should it be moniotred? Correct
Ans-1.5-2x the normal level; q6hrs
How log does IV heparin need to be off before lovenox is started? Correct Ans-at least 30 min
What is used to measure warfarin values and what is the normal value? Correct Ans-INR -
0.9-1.1
PT - 10-13 seconds
What is used to measure heparin values and what is the normal value? Correct Ans-PTT - 11-
13.5 seconds
What are the clinical manifestations of PVD? Correct Ans-- bilateral edema
- varicose veins
- stasis dermatitis (reddish brown discoloration extending up form the ankles, chronic ulcers)
What the management for PVD? Correct Ans-compression stockings, leg exercises, elevation
above the heart
,What should you teach your patient with PVD? Correct Ans-- avoid standing for long periods
of time
- avoid crossing legs
- avoid restrictive clothing
- unna boot (zinc oxide dressing) for ulcer care
insufficient oxygen Correct Ans-ischemia
tissue death Correct Ans-infarction
chest discomfort with exertion that is relived by rest and/or nitroglycerin; frequency/duration is
predictable and pts usually know their limits Correct Ans-stable angina (chronic)
What is stable angina managed with? Correct Ans-nitrates, beta blockers, rest
used to describe pts with either unstable angina or an acute MI Correct Ans-acute coronary
system
chest pain that occurs at rest or with exertion; not rleived by rest or nitroglycerin Correct
Ans-unstable angina
thickening or hardening of the arterial wall associated with aging (naturally) Correct Ans-
arteriosclerosis
formation of plaque within the arterial wall itself Correct Ans-atherosclerosis
, occurs at the same time of day secondary to spasm (variant angina) Correct Ans-prinzmetal's
angina
What kind of MI is characterized by ST elevation and thrombus formation? Correct Ans-
STEMI (worse kind)
What kind of MI is characterized by ST depression, T wave inversion, the initial troponin is
normal (but can creep up in the second set of vitals)? Correct Ans-NSTEMI
What should you teach your patient about diet modifications to prevent MI? Correct Ans--
limit sodium intake 1500 mg/day
- limit cholesterol intake 200 mg/day
- avoid trans fatty acids
What should you teach your patient about lifestyle modifications to prevent MI? Correct Ans-
- stop/avoid smoking
- moderate exercise 3-4x a week or 30 min walk a day
- importance of diabetes/HTN management
- importance of weight loss
What are the similarities between angina and an MI? Correct Ans-both have substernal chest
pain/pressure radiating to the left arm
What are the differencesbetween angina and an MI? Correct Ans-- angina is precipitated by
exertion or stress, MI occurs without cause usually in the morning
- angina is relived by nitroglycerin and/or rest, MI is only relived by opioids
- angina usually lasts less than 15 minutes, MI lasts 30 min or more
- angina has no other symptoms, MI frequently has associated symptoms
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller ExamRoom. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $13.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
79373 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now