Nursing 412 Blueprint Exam 2.docx - Nursing 412 Exam 2 Med-Surg Content Blueprint Chp 33-4 questions Important lab values for ACS\/MI patients BNP-b-type

Nursing 412 Blueprint Exam 2.docx - Nursing 412 Exam 2...

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Nursing 412 Exam 2 Med-Surg Content Blueprint Chp 33-4 questions Important lab values for ACS/MI patients BNP-b-type natriuretic peptide, indicator of how much fluid ANP-atrial natriuretic peptide Troponin (1 st one to rise, most sensitive), myoglobin (general muscle damage), CK-MB (muscular damage cardiac specific) Prioritization of care for a patient status post PCI, purpose of PCI Percutaneous coronary intervention- is a non-surgical procedure that uses a catheter (a thin flexible tube) to place a small structure called a stent to open up blood vessels in the heart that have been narrowed by plaque buildup, a condition known as atherosclerosis. Priority Nursing intervention: Pulses, distal to the puncture site, should be monitored at regular intervals to ensure adequate blood flow. For patients with MI/ACS Vitals, look for arrhythmias, poor blood perfusion, bleeding risk, lay flat for at least 8 hours MI STEMI/NONSTEMI Result of an abrupt stoppage of blood Worried about infarction/narcosis Severe chest pain-not relieved by nitroglycerin or position change, nausea, vomiting Often occurs in morning 1 st interventions: 02 high flow, EKG 12 lead, upright position, nitro vasodilator, statins, morphine, IV access, aspirin (anti-platelet) Leukocytes fill the area, takes a while to heal Scar tissue forms and heart failure symptoms begin Complications of MI Dysrhythmias-vtacc (give antidysrhythmias), vfib Cardiogenic shock-open heart surgery Acute pericarditis Pericardial friction rub Chp 34-7 questions Left sided heart failure vs right sided heart failure signs and symptoms Left: most common
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