Ch24 (1).pdf - Learning Outcomes Chapter 24 Nursing Care of Patients with Occlusive Cardiovascular Disorders Explain the etiologies signs symptoms and

Ch24 (1).pdf - Learning Outcomes Chapter 24 Nursing Care of...

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1/21/2016 1 Copyright © 2015. F.A. Davis Company Copyright © 2015. F.A. Davis Company Chapter 24 Nursing Care of Patients with Occlusive Cardiovascular Disorders Copyright © 2015. F.A. Davis Company Learning Outcomes Explain the etiologies, signs, symptoms, and therapeutic measures of coronary artery disease, angina pectoris, and myocardial infarction. List data to collect for patients with coronary artery disease, angina pectoris, or myocardial infarction? Copyright © 2015. F.A. Davis Company Learning Objectives (cont’d) What therapeutic measures are used to treat coronary artery disease, angina pectoris, and myocardial infarction. Explain the etiologies, signs, and symptoms for each of the peripheral vascular disorders. Identify therapeutic measures used to treat peripheral vascular disorders. Plan nursing care for patients with a peripheral vascular disorder. Copyright © 2015. F.A. Davis Company Arteriosclerosis Artery/Arteriole Walls Thicken Harden Lose Elasticity Copyright © 2015. F.A. Davis Company Atherosclerosis (cont’d) Type of Arteriosclerosis Plaque Formation in Arterial Wall Childhood Onset Copyright © 2015. F.A. Davis Company Atherosclerosis (cont’d) Non-modifiable Risk Factors Age Gender Ethnicity Genetic Predisposition for Hyperlipidemia Diabetes Mellitus
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1/21/2016 2 Copyright © 2015. F.A. Davis Company Atherosclerosis (cont’d) Modifiable Risk Factors Hypertension Blood Glucose control Smoking Obesity Sedentary Lifestyle Increased Serum Homocysteine Increased Serum Iron Levels Infection Depression Hyperlipidemia Elevated Apolipoprotein B Excessive Alcohol Intake Copyright © 2015. F.A. Davis Company Atherosclerosis (cont’d) Diagnostic Tests for Increased CVD Cholesterol Elevated Increases Risk Low-density Lipoproteins (LDL) Increased risk High-density Lipoproteins (HDL) Protective Lp(a) Cholesterol Elevated Increases Risk Copyright © 2015. F.A. Davis Company Atherosclerosis (cont’d) Diagnostic Tests (cont’d) Apolipoprotein B > Apolipoprotein A Increased Risk Triglycerides Increased Risk C-reactive Protein Inflammation in C.A. Shows Increased Risk Elevated Leukocyte Count in Women Increased Risk Copyright © 2015. F.A. Davis Company Atherosclerosis (cont’d) Therapeutic Interventions Low-fat Diet Avoid Smoking Exercise Lipid-lowering Agents Copyright © 2015. F.A. Davis Company Coronary Artery Disease (CAD) Obstruction of Coronary Artery Blood Flow Typically from Atherosclerosis Contributes to Angina Myocardial Infarction Sudden Death Copyright © 2015. F.A. Davis Company Coronary Artery Disease (con’t) Prevention Modify Risk Factors Low-cholesterol Diet Lipid-lowering Agents Low Dose Aspirin
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1/21/2016 3 Copyright © 2015. F.A. Davis Company Angina Pectoris Symptom of Ischemia Chest Pain Causes: CAD, Vasospasm, Valvular Heart Disease, Hypertension, Heart Failure Copyright © 2015. F.A. Davis Company Types of Angina Stable Angina Arteries Cannot Increase Blood to Heart During Increased Activity Usually Stops with Rest/Vasodilator Copyright © 2015. F.A. Davis Company
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