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Rasmussen MDC III Final Exam Rated A+
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Rasmussen MDC III Final Exam Rated A+
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Rasmussen MDC III Final Exam Rated A+-aortic
-mitral
-tricuspid
-pulmonic - ANSWER-Types of valves
"sugary cholesterol" - ANSWER-What are triglycerides?
*control RVR for patient:*
▪ give anticoagulants
▪ beta blockers, digoxin, diltiazem
▪ if meds don't work...cardioversion (synchronized shock to re-start the rhythm)
▪ if cardioversion doesn't work...ablation - ANSWER-Nursing Interventions: *A-fib RVR*
*infection*; in the hospital we put them on neutropenic precautions which means
reverse isolation (no live flowers, wash hands) - ANSWER-Leukemia patients are at risk
for what?
*Keep BP controlled to keep pressure off artery.* - ANSWER-If we have a patient with
an aortic aneurysm, what do we need to do to prevent aneurysm from growing?
*Oxygen* - 1st
*Nitro* - given sublingual, 3 doses q 5 min (home), drip (hospital), drops BP
(vasodilator)
*Aspirin* - antiplatelet, stops clotting, 325 mg, chew it
*Morphine* - calms the patient down, helps pain - ANSWER-Treatment: *Myocardial
Infarction*
▪ 2 nurses verifying the orders
▪ stay with the patient the first 15 min
▪ monitor vital signs 15 min after
▪ 4 hours start-finish - ANSWER-When we are giving patients blood transfusions, what
is the protocol?
▪ ACE inhibitors
▪ Beta Blockers
▪ ARBs
▪ Calcium Channel lockers - ANSWER-Pharmacological Treatment: *Hypertension*
▪ anticoagulants
▪ cath lab to have stent placement
▪ angioplasty - ANSWER-Treatment: *Peripheral Vascular Disease (PVD)*
▪ avoid large amounts of dark leafy green vegetables
, ▪ avoid gingko biloba - ANSWER-Patient Education: *Warfarin*
▪ bone pain, joint pain
▪ fatigue
▪ bleeding gums
▪ bruising
▪ weight loss, decreased appetite - ANSWER-S/S: *Leukemia*
▪ change in condition make take priority over ABCs (ex: post op bleeding is priority over
an O2 Sat% of 90%)
▪ pick the patient that is going to die first - ANSWER-Priority questions...something to
consider
▪ chemotherapy
▪ stem cell transplant
▪ bone marrow transplant - ANSWER-Treatment: *Leukemia*
▪ chest pain
▪ SOB
▪ diaphoresis
▪ N/V
▪ hypertension
▪ tachycardia
▪ jaw pain, anxiety, indigestion (women)
▪ elevated troponin levels
▪ EKG changes - ST elevation - ANSWER-If you have a patient who comes into the ED
and they are having an MI, what are the signs/symptoms? lab values to confirm this?
▪ Cholesterol
▪ Smoking
▪ Uncontrolled diabetes
▪ Uncontrolled HTN
▪ Obesity
▪ Diet
▪ Lack of exercise - ANSWER-Causes of plaque build up
▪ cool hands and feet
▪ bad pedal pulses
▪ leg pain
▪ decreased capillary refill
▪ mottled skin - ANSWER-S/S: *Peripheral Vascular Disease (PVD)*
▪ CPK
▪ troponin
▪ CK-MB
▪ BNP - ANSWER-Name the cardiac enzymes
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