Cardiac tamponade - pericardiocentesis

CABG – saphenous most common

Ballon valvulosplasty mitral valve stenosis

Measure to prevent rheumatic heart disease is to promptly treat strept infection

Endocarditis – dx blood culture

Lifestyle changes angina smoking cessation

Ptca – reperfuse the ara of the myocardium deprived of oxygen

Heat failure that occus when the left ventricle does not contract strong enough blood to pump out of
hear (A)

PTCA immediate intervention complaining of numbness in the right foot

Breath cool clammy skin bucal cyanosis- sit him up

Early sign of CHF – activity intolerance

Dependent edema – right, hepatomegaly right , pulmonary congestions left , cough left, distended neck
veins right, nocturia, right , dyspnea fluid left, ascites right

Gallbladder rusj obese woman

Gallbladder avoide eggs and cheese

Choledocholithaisis pain right upper quadran radiates to the shoulder

NG tube ab de g, bowel weight, IV , oral nasal , blood glucose

Cephulac drug monitor serium ammonia

Pancreatitis attack NPO.

Gallstone lodged – clay colored stools

ERCP visualize biliary tree

Patient void before paracentesis

Position – upright sitting postions

Avoid straining at the stool with esophageal varices

Cephulac watery diarrhea

Alparoscopic cho;lectystectomy can result in bile duct injury

Complications of portal hypertension – TIPS , esophageal banding , endoscopic sclerotherapy and

vasopressin

Lower serum albumin malnutirion and malabsorption syndoroms

Acute pancreatitis pain , fetal position

Acute pancreatitis clay colored stools and darke urine

Risk for altered ski nintergrity related to pururits, cut ther fucken finger nails

Home oxygen clien- smoking cessation

Lung damage chronic inflammation

Laryngeal cancer hoarseness

Cheyne stokes shallow slower apneic periods

Thoracentesis diagnostic of pleural effusions

Voice box will not damage supraglottic laryngectomy

Knifelike pain pleurisy

Thoracentesis , lying on unaffected side , sitting on the edge ,straddling the chair

Chest x-ray rule out pneumo

Incentive spirometer - exhales completely p

PEEP

Tidal volume maximum volume of air inhaled and exhaled

Peak flow meter asthma measures

Pleurisy – side lying on the effected side

Crush capsules with aminopylline

Albuterol rapid pounding heartbeat reslesness nervousness trembling

Crackles with emphysema

Encourage patient to cough after procedure with postural drainage - ascultate liungs before and after
procedure
Suction a patient secreting white amounts of sputum

Paradoxical indicated flail chest

COPD respiratory acidosis

Mediastinum to shift awa from the the affected side and decrease venous return

Hodgkins rred stern berg ----- AML --- most common leukemia

----ClLL most acses are in adults ofver 80

Schillings test perncioius anemia

Pernicious anemia – pale mucous membranes

Buerger - pain in the arch of foot relived by rest

IRON IM use z track

Hemolytic anemia decreased RBC increase bili decrease hem and hemat increased retic

DIC formation of clots throughout the body

Hodgkins paliness elymph on side of the neck

Heparin prevent clot formation

Hemophilia cut apply pressure to the site for at least 10 to 15

Inadequate nutritional supp[ly thick ridged nails

Vitamin b12 perncious anemia

Bone marrow aspiration identify number of white blood cells and in all stages

Tortuous veins caricose veins

Sickle cell blackage of small vessesls so that ischemia and finacrtion occur

Arterial insufficien cy ulcerations on toes that are small circular

DIC cancer

Aspirin is a concern thrombocytopenia

Hemophilia factor VIII

High serum potassium is of concern with AML

Fusiform looks like a buldge in a pipe

Peripheral arterial disease intermittend claudication

ABI .50

Pericardio centesis cardiac tamponade JVD and narrowing pulse pressure

25 percent chase offspring will develop disease

\pericarditis increased chest pain with inspiration

250 63 886

Pale mucous membranes with vitamin b12 def

DIC low fibrinogen level

IV hep with DIC collaborative

Left femoropoliteal right side

Hemophili b factor IXconcentrate

AML fever and infection

CLL asmytompatic

DIC Oozing blood

O+ O + and O-

Priapism in sickle cell

ITP howoften migrains ?

Varicosities for people who stand long periods of time

Intermiiten claud dependent rubor cold palse diminished or absent pedal pulses , reddish blue
discoloration – artieral

Paresthesia ulcer of lower legs muscle fatigue venous insfuff

Tachycardia increase myocardial demand

Uncontrolled hypertension lead to renal failure.

No food the morning of a cardiac stress test

First heart sound of atrioventricular valves

Apex of heart 5ht intercoastal space

Afterload the amount of resistance of ejection of blood from ventricle

Afib hypotensions and dizziness

Cardiac cath monitor peripheral pulses

PTCA ballon

Effectso fi iodine see that the client is well hydrated

TEE institute an NPO

Taking b/p after 15 minutes after nicotine or caffeine ingestiong

Class III antiahryyhtmic photosensitivity and cornoeal micro depoistis

Increase iCP increase temp decrase d pilse decrease respi increase BP

Motor response has 6