HDL>50
LDL<100
Triglycerides <150
Total cholesterol <200
BNPHF
CXR- concerns pregnancy
Echocardiogram NO PREP
Stress test no exercise,
... [Show More] no beta blockers, no caffeine, no smoking
Defibrillator should be available in the room
Cardo angiogram- check for allergies, can make you feel flushed, warm, feeling like urinating
Transesophageal cardiogram TEE NPO 6-8 hrs., check gag reflex
Cardiac catheterization femoral is the most common, check distal pulses Q 15 min, should have a
pressure dressing, high risk for bleeding. Apply pressure if bleeding, bed rest for about 6 hrs., while in
Cath lab they are at high risk for arrhythmias and at risk for infection.
Norma HR 60-100 brady is <60
Normal sinus 60-100
Sinus bradycardia <60 tx with atropine if symptomatic if NOT find cause and remove.
Sinus tachycardia >100 tx symptoms- vagal maneuvers, adenosine, beta blockers, drink cold water fast
because it stimulates your vagus nerve, cardioversion.
SVT (supraventricular tachy) >180 same as sinus tachy
Atrial fib-clots-(heparin) NO clots or not known start calcium channel blockers (diltiazem) first line of TX.
Beta blockers, cardioversion.
Atrial flutter
Ventricular tachycardia if pulse give epi/lidocaine, if no pulse DEFIB
Ventricular fibrillation-defib
P is what your atria is doing
Always synchronize before cardioversion
How you monitor a pacemaker- can monitor remotely
After a pacemaker- no heavy lifting, ROM is ok, MRI depends but NO MRI, CT are ok
Nitrates if pt taking know if they are taking Viagra, monitor HR/BP. Cause headaches take Tylenol and still
take medication. Call 911 after the 3rd nitro. Store in a dark bottle, check expiration date.
CCB calcium channel blockers diltiazem, verapamil (PINE)- if you get muscle weakness notify HCP. Check
HR.
ACE inhibitors (PRILS) - cough or swelling (angioedema)
Losartan- ARBS
Unstable angina can progress to MI, tx like an MI you don’t give morphine
Stable- rest
If pt come complaining of chest pain first do EKG always
MI- conserve pts energy fist hours bed rest, change diet, exercise, no smoking, females are at higher
risk, how are you taking your medicine check for expiration dates, when can they have sex resumeonce
you are able to do two flights of stairs, no chest pain. Take nitro before activity so take before
sex.
HF
Cardiogenic shock
Vents (pressure alarm)
Cardiac tamponade- 911 blood build up in the chest cavity-tx pericardial sentices s/s ICP, JVD, pulses
paradoxes, muffled heart sounds.
VTE risk ortho surgery and abdominal surgeries, prolonged bed rest (longer than a day 24 hrs) birth
control TX walk, ROM, enoxaparin, warfarin, clopidogrel. IVC (vena cava filter) if they cannot take
anticoagulants. s/s unilateral, warmth, measure both calves, bed rest if they have a clot to prevent
thrombus from traveling.
PAD/PVD
PAD- intermittent claudication, still walk if in pain, do as much they can for themselves, no color they
have ulcer, no hair, arterial is typically on the outside. Dangle legs
lOMoARcPSD|25111999
PVD-elevate the legs,
SHOCK types
Hypovolemia [Show Less]