Phase IV Maintenance phase Emphasizes the long term life change Exercise no

Phase iv maintenance phase emphasizes the long term

This preview shows page 4 - 7 out of 15 pages.

on the patient to see how well they tolerate activity. Phase IV Maintenance phase. Emphasizes the long-term life change. Exercise (no sedentary lifestyle). Diet. CAD o Risk Factors: Modifiable vs. Non-Modifiable Modifiable: Smoking, hyperlipidemia, hypertension (long term or chronic over 140/90), diabetes, obesity, diet, inactivity, stress, and alcohol Non-Modifiable : Age, gender, family history, and ethnic background o Diagnostic Test Teachings Electrocardiogram 12-lead electrical recording of the heart used to determine areas of ischemia or infarction Holter Monitor Ambulatory ECG that monitors the patient to see if ischemia is present. Goes directly to the telemonitor nurse. Like a pager looking device. Relates the ischemic episode to what the patient is doing Chest X-ray Not diagnostic worthy, but can reveal clues of CAD ECG Stress Test Exercise induced stress test. It evaluates effectiveness of therapies. Shows how exercise is affecting the cardiac system Labs Creatine Kinase: looks overall if there is muscle damage in the body. It is a marker but is nondistinctive. Troponin: a myocardial protein that is only released in circulation when there is a myocardial injury. It will rise quickly and remain elevated for 2 weeks. STEMI
Exam 3 Concept Guide More extensive damage, occurs very quickly, usually correlated with prolonged and complete blockage NSTEMI Incomplete blockage o Medications for Treatment (All work by decreasing the workload of the heart and increasing myocardial perfusion) Nitrates Nitroglycerin o PRN o Watch for hypotension (stand slowly) o Common/expected side effects: tingling sensations and headache o Avoid use of Viagra or Cialis because it vasodilates as well so the combination of both could cause death to occur Beta Blockers Atenolol & Metoprolol o Decrease afterload and increase diastolic time to increase coronary perfusion o Monitor for bradycardia, hypotension, SOB, and wheezing It can also constrict the bronchioles o Do not give to someone with asthma Calcium Channel Blockers Verapamil, Diltiazem, & Amlodipine o Dilate coronary arteries, prevents vasospasms, and decreases preload and afterload o Monitor for edema, hypotension, bradycardia o Start prevention attempts for constipation (laxatives) Antiplatelet Therapy Aspirin o Inhibits blood clots, decreases pain, and decreases the risk of death in elderly patients. o Take with food o Common dose: baby aspirin (81 mg/day) HDL vs. LDL Differences and Levels o LDL (bad cholesterol): main component of atherosclerotic plaque buildup. LDL transports cholesterol to the liver and other organs. o HDL (good cholesterol): Transports plasma cholesterol away from the plaque to be excreted. If HDL goes up the tendency for CAD decreases. Classification Total Cholesterol (mg/dl) LDL (mg/dl) HDL (mg/dl) Triglyceride (mg/dl) Optimal Less than or Less than or Greater than or Less than or
Exam 3 Concept Guide

  • Left Quote Icon

    Student Picture

  • Left Quote Icon

    Student Picture

  • Left Quote Icon

    Student Picture