S/S of Malignant HTN - Answer initially asymptomatic, headache upon awakening, blurred vision,
dizziness, chest pain, difficult breathing, numbness in face and legs, tinnitus, flushed face, epistaxis
HTN Crisis - Answer acute and life threatening; accelerated HTN requires ER treatment because organ
damage can occur quickly
Pharmacological interventions for HTN - Answer ACE Inhibitors, Diuretics, Calcium Channel Blockers,
ARBs, and Beta Blockers
What symptom should you report right away with ACE Inhibitors? - Answer Dry nagging cough-
discontinue immediately and teach about orthostatic HTN in elderly
What is an example of an ACE inhibitor drug? - Answer Lisinopril, Enalapril
What is an example of a Calcium Channel Blocker? - Answer Verapamil, Amlodopine
What is an example of an ARB? - Answer Losartan, Valsartan
,What is an example of a Beta Blocker? - Answer Metoprolol, Atenolol
Pt. teaching for Raynauds disease - Answer Stop smoking, avoid cold and stress, wear warm clothing,
take vasodilators as prescribed
Pt. teaching for Burgers Disease - Answer Use vasodilators as prescribed, smoking cessation, avoid
injury to upper and lower extremities, can cause gangrene
S/S of Peripheral Arterial Disease (PAD) - Answer Leg pain, burning, cramping muscle discomfort when
walking that stops at rest. As the disease persists the pt can walk shorter distances
Post-OP Care for Femoral Artery Bypass graft? - Answer warmth, redness and edema are expected.
Monitor for possible occlusion and continuous aching pain (first sign of occlusion) Throbbing pain is due
to increased blood flow to the area.
Notify the physician immediately if they experience what S/S after a femoral artery graft? - Answer
Cold, pale, cyanotic skin or decreased pulse
When a pt. is on IV continuous Heparin, what lab values do you monitor? - Answer aPTT Values
What is the normal aPTT range? - Answer 30-40 seconds
1.5-3 times normal control levels
*Call the MD if >70 seconds*
Normal PT level: - Answer 11-12.5 seconds
-1.5-2.5 times normal control level when on Coumadin
Normal PTT level: - Answer 60-70 seconds
-1.5-2.5 times the normal control on Heparin
Normal INR level: - Answer 0.9-1.2 seconds
Miserable therapeutic level is 2-3 times the normal
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