Observe findings of hypotension bradycardia

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observe findings of hypotension, bradycardia, diaphoresis, dizziness; give atropine and lay the client flatmonitor serum creatinineclient and family teachingrisk-factor modificationteach the risk factors for coronary artery disease (CAD)encourage client to lose excess weight; review low-fat, low-cholesterol diet, resume activity gradually as tolerated orencourage participation in cardiac rehabilitation programencourage smoking cessation- acute coronary events are strong motivation for many clients to successfully quit smokingteach side effects of drugs for CADstress - teach stress reduction techniquesavoidactivities known to cause anginaphysical activities for two hours after mealsvery cold and very hot weatheralcohol and caffeine drinksstimulants such as diet pills, nasal decongestants, or any remedy that can raise heart rate or blood pressureusenitroglycerin tablets and carry at all times1 tablet every 5 minutes up to 3, if no relief call 911reportnew anginal pattern- if it occurs with less activity, or at restIf multiple doses of nitroglycerin or more frequent use is neededD. HYPERLIPIDEMIADefinition:an elevation of lipids (fats) in the bloodstream, e.g., cholesterol, cholesterol esters (compounds), phospholipids,triglyceridesEtiology: dietary, heredityPathophysiology: increased lipids and cholesterol leads to atherosclerosis, leading to coronary heart diseaseDiagnostic studiestotal cholesterol - increasedLDL - increasedHDL - decreasedtriglycerides - increasedManagementdietchoose healthier fats and eliminate trans fatslimit cholesterol in foodwhole grainseat foods rich in omega-3 fatty acids
exercisemedicationsstatins: atorvastatin, rosuvastatin, simvastatinbile acid sequestrants: colestipol, cholestyramineniacinNursing interventionsencourage screening for at risk children with family historyteach dietary guidelines or refer to dieticianCARDIAC ARRHYTHMIASDefinition:disturbance in heart rate or rhythmTypes ofdysrhythmiaA. Supraventricular:sinus, atrial, and junctional (originates outside the ventricles, usually in atria) - immediateintervention may be required with very fast or slow rates that are symptomatic1. sinus tachycardia2.sinus bradycardia3. Sinus arrythmia4.premature atrial complexes5. atrial tachycardia6. atrial flutter
7. atrial fibrillation- very common, may cause thrombotic stroke due to lack of atrial contraction, requiring anticoagulation8. premature junctional complex9. junctional tachycardiaB. Ventricular:immediate intervention may be required with very fast or slow rates that are symptomatic; very seriousrhythms indicated by emergent care1. premature ventricular contraction2. ventricular tachycardia- emergent care with defibrillation needed, may have pulse or no pulse - includes Torsade dePoints3. ventricularfibrillation- emergent care with defibrillation needed - incompatible with life4.

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Term
Fall
Professor
NoProfessor
Tags
Cardiology, left ventricle, mitral valve

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