indicate priority treatment for a patient with pulse who is hypotension and diaphoretic

What should a nurse teach a diabetic patient with peripheral artery disease?

The patient with diabetes mellitus is at high risk for developing peripheral artery disease. The nurse should teach the diabetic patient to check capillary refill regularly to ensure he or she has proper blood circulation. The patient should wear either all-cotton or all-wool socks.

When assessing the patient with pericardial effusion the nurse will assess?

When assessing the patient with pericardial effusion, the nurse will assess for pulsus paradoxus. Pulsus paradoxus is characterized by what assessment finding? The cardiac monitor alarm alerts the critical care nurse that the patient is showing no cardiac rhythm on the monitor. The nurses rapid assessment suggests cardiac arrest.

Which blood pressure reading is classified as a hypertensive crisis?

Which blood pressure reading is classified as a hypertensive crisis? Patients with hypertensive crisis usually have a systolic blood pressure of more than 240 mm Hg or a diastolic blood pressure of more than 140 mm Hg. The other readings are not classified as hypertensive crisis.

Which medication is prescribed for a patient with peripheral artery disease (PAD)?

A patient is diagnosed with peripheral artery disease (PAD). The nurse anticipates that which medication will be prescribed? Lipid management is essential in the patient with peripheral artery disease. Statins such as simvastatin lower the low-density lipoprotein (LDL) and triglyceride levels and are used to treat peripheral arterial disease.

Which is the priority management of a patient with MI?

Although the immediate priority in managing acute myocardial infarction is thrombolysis and reperfusion of the myocardium, a variety of other drug therapies such as heparin, β-adrenoceptor blockers, magnesium and insulin might also be considered in the early hours.

What is the first step in treatment of myocardial infarction?

The early treatment of acute myocardial infarction consists of ensuring the patient is in an environment in which defibrillation is possible and then reducing the size of the potential infarct by re-opening the occluded coronary artery.

What treatment is indicated in the first 12 hours of myocardial infarction?

Alteplase, reteplase and streptokinase need to be given within 12 hours of symptom onset, ideally within one hour. Tenecteplase should be given as early as possible and usually within six hours of symptom onset. Bleeding complications are the main risks associated with thrombolysis.

What treatment may help a patient with a complete AV block?

Transcutaneous pacing is the treatment of choice for any symptomatic patient. All patients who have third-degree atrioventricular (AV) block (complete heart block) associated with repeated pauses, an inadequate escape rhythm, or a block below the AV node (AVN) should be stabilized with temporary pacing.

What is the best treatment for myocardial infarction?

The treatment of MI includes, aspirin tablets, and to dissolve arterial blockage injection of thrombolytic or clot dissolving drugs such as tissue plasminogen activator, streptokinase or urokinase in blood within 3 h of the onset of a heart attack.

What is the first intervention for a client experiencing MI?

The first goal for healthcare professionals in management of acute myocardial infarction (MI) is to diagnose the condition in a very rapid manner. As a general rule, initial therapy for acute MI is directed toward restoration of perfusion as soon as possible to salvage as much of the jeopardized myocardium as possible.

What causes Diaphoresis in myocardial infarction?

The medical term for sweating here is diaphoresis, a well-known sign of a heart attack. This occurs due to activation of a defense mechanism known as the sympathetic nervous system, a kind of fight or flight response.

Why is Asa given for MI?

Aspirin is now widely accepted as an essential component in the early treatment of acute MI. The giving of aspirin by a health professional on first contact with a patient who has chest pain and who is suspected to have a MI or acute coronary syndrome is therefore recommended,6,7 and has become accepted practice.

Why are ACE inhibitors used after MI?

A meta-analysis concluded that administration of an ACE inhibitor within 3 to 16 days of infarction can slow the progression of cardiovascular disease and improve the survival rate (figure 1) [1].

Do you give atropine for 3rd degree heart block?

There may be some action at the AV-node with atropine, but the effect will be negligible and typically not therapeutic. In most cases, atropine will not hurt the patient with 3rd-degree block unless they are unstable and cardiac pacing is delayed in order to administer atropine.

Are beta-blockers contraindicated in first-degree heart block?

Although first-degree AV block is not an absolute contraindication for administration of drugs such as calcium channel blockers, beta-blockers, digoxin, and amiodarone, extreme caution should be exercised in the use of these medications in patients with first-degree AV block.

What medication is given for third-degree heart block?

Medications that may be used in the management of third-degree AV block (complete heart block) include sympathomimetic or vagolytic agents, catecholamines, and antidotes.

What to do if your blood pressure is low?

If it's not clear what's causing low blood pressure or no treatment exists, the goal is to raise your blood pressure and reduce signs and symptoms. Depending on your age, health and the type of low blood pressure you have, you can do this in several ways: Use more salt.

What is the goal of blood pressure testing?

The goal in testing for low blood pressure is to find the cause. Besides taking your medical history, doing a physical exam and measuring your blood pressure, your doctor might recommend the following: Blood tests.

How to lower blood pressure?

Drink more water, less alcohol. Alcohol is dehydrating and can lower blood pressure, even if you drink in moderation. Water, on the other hand, fights dehydration and increases blood volume. Pay attention to your body positions. Gently move from a prone or squatting to a standing position.

How to keep blood pressure from dropping?

Eat small, low-carb meals. To help prevent blood pressure from dropping sharply after meals, eat small portions several times a day and limit high-carbohydrate foods such as potatoes, rice, pasta and bread. Your doctor also might recommend drinking one or two strong cups of caffeinated coffee or tea with breakfast.

How to get blood flow to your heart?

If you begin to get symptoms while standing, cross your thighs in a scissors fashion and squeeze, or put one foot on a ledge or chair and lean as far forward as possible. These moves encourage blood flow from your legs to your heart. Eat small, low-carb meals.

What is tilt table test?

Tilt table test. If you have low blood pressure on standing or from faulty brain signals (neurally mediated hypotension), a tilt table test can evaluate how your body reacts to changes in position.

How to test for cardiovascular disease?

Diagnosis. You begin by lying flat on a table. Straps are put around your body to hold you in place. After lying flat for a while, the table is tilted to raise your body and head — simulating a change in position from lying down to standing up. During this test, your heart rate and blood pressure are monitored to evaluate your body's cardiovascular ...

What is the role of a nurse in HF?

The nurse is planning the care of a patient with HF. The nurse should identify what overall goals of this patients care? Select all that apply

What is a cardiac monitor alarm?

The cardiac monitor alarm alerts the critical care nurse that the patient is showing no cardiac rhythm on the monitor. The nurses rapid assessment suggests cardiac arrest. In providing cardiac resuscitation documentation, how will the nurse describe this initial absence of cardiac rhythm?

What does a nurse note about a patient's cough?

The nurse notes that a patient has developed a cough productive for mucoid sputum, is short of breath, has cyanotic hands, and has noisy, moist-sounding, rapid breathing.

When taking an adrenergic blocker, should blood pressure be monitored both supine and standing?

Also, the apical pulse should be counted for 1 full minute , not the radial pulse. Assessment of temperature and respiratory rate, although important, is not as paramount in this case.

Why is it important to monitor blood pressure?

4. Monitor blood pressure closely because you will be exposed to a hot climate. Exposure to hot climates can exacerbate vasodilation from the adrenergic-blocking drugs and lead to a greater drop in blood pressure, with a greater risk of dizziness and syncope.

How long do you count radial pulses?

Count the radial pulse for 1 full minute.

How much weight can a patient gain after taking an adrenergic blocker?

A patient's weight increased 2.5 pounds in 24 hours after the patient started an adrenergic-blocker drug. Which action will the nurse take first?

Why do you not wait for a cardiac defibrillator to fire?

Do not wait for the device to fire because a malfunction has occurred if ventricular fibrillation is present. Cardioversion is not appropriate because no QRS complexes are present for synchronization. Do not place the adhesive patches directly over the implantable cardiac defibrillator.

What is the treatment for atrial fibrillation?

Treatment of atrial fibrillation aims to control the rapid ventricular rate with medications, such as calcium channel blockers or beta-blockers. Calcium channel blockers are not used to treat the other dysrhythmias listed. Accelerated junctional tachycardia is a transient rhythm that only requires treatment of the underlying disorder. Patients with second-degree atrioventricular block, type II, require careful monitoring and may need transcutaneous pacing. Treatment for polymorphic ventricular tachycardia is magnesium sulfate and defibrillation if the patient's condition is unstable.

What is the purpose of defibrillation?

The intent of this energy delivery is to simultaneously depolarize all of the heart cells, interrupting the abnormal electrical rhythm and allowing the sinoatrial node to resume its normal pacemaker activity. In synchronized cardioversion, energy delivery is timed to correspond with the QRS complex to avoid shock delivery during the relative refractory period, which can induce ventricular fibrillation. Transcutaneous and transvenous pacemakers electrically stimulate a heartbeat when the heart's intrinsic electrical system cannot generate a rate that is adequate to support cardiac output.

How much energy is needed for a biphasic defibrillator?

For a biphasic defibrillator, use the manufacturer's recommended energy level (120 to 200 joules) for the initial defibrillation. If the manufacturer's recommendation is unknown, use the maximum energy available.

What is premature atrial complex?

Premature atrial complexes are ectopic beats that are initiated by an irritable atrial focus. P waves are present, but because the ectopic focus originates the impulse outside the sinoatrial node, the premature P waves have a different configuration. Atrial flutter causes no P waves, but it causes flutter waves in a sawtoothed pattern.

Which artery supplies the anterior surface of the ventricular septum?

In about 60 percent of the population, the right coronary artery supplies the sinoatrial node. The left anterior descending artery supplies the anterior surface of the ventricular septum. The circumflex artery supplies the posterior surface of the left ventricle and the left atrium.

Which branch supplies the lateral wall of the left ventricle, left atrium, and right bundle of His?

B. The left circumflex branch supplies the lateral wall of the left ventricle, left atrium, bundle of His (which is also supplied by the right coronary artery), right bundle, sinoatrial node in 40 percent to 50 percent of the population, and atrioventricular node in 8 percent to 10 percent of the population.

How often should you check a patient?

a. Check the patient every 15 minutes

What does a nurse say to a patient admitted to an alcoholism rehabilitation program?

A patient admitted to an alcoholism rehabilitation program tells the nurse, "I'm actually just a social drinker. I usually have a drink at lunch, two in the afternoon, wine with dinner, and a few drinks during the evening." The patient is using which defense mechanism?

What happened to a nurse who worked at a hospital for several months?

A nurse worked at a hospital for several months, resigned, and then took a position at another hospital. In the new position, the nurse often volunteers to be the medication nurse. After several serious medication errors, an investigation reveals that the nurse was diverting patient narcotics for self-use.

What is the mandate of a nurse?

1) The nurse must relinquish his driver's license to the office of motor vehicles. 2) The nurse is mandated to comply with treatment and prescribed therapies. 3) The nurse is not mandated to meet specific requirements, because all civil rights are ensured.

Who teaches self care instructions to a patient who has undergone peripheral artery bypass surgery?

The nurse teaches self-care instructions to a patient who has undergone peripheral artery bypass surgery. Which patient action indicates the need for further teaching?

What is the best medication for peripheral artery disease?

Simvastatin. Lipid management is essential in the patient with peripheral artery disease. Statins such as simvastatin lower the low-density lipoprotein (LDL) and triglyceride levels and are used to treat peripheral arterial disease. Sildenafil is used to treat Buerger's disease.

What is critical limb ischemia?

A patient is diagnosed with critical limb ischemia, which resulted from severe chronic peripheral vascular disease. The nurse places the patient's bed in the reverse Trendelenberg position to achieve what desired effect?

Why do diabetics need extra care after surgery?

Diabetic patients with peripheral arterial disease (PAD) require extra care after surgery because of the slow recovery process. The nurse should immediately report to the health care provider any potential complications, such as bleeding and thrombosis, because they can lead to surgical site infection (SSI).

What is the medication used to prevent blood clots?

An antiplatelet medication, such as aspirin, may be prescribed to prevent blood clot formation. ... A male Hispanic patient is diagnosed with peripheral artery disease (PAD). The nurse notes a history of smoking and a history of depression.

Why does intermittent claudication feel like a cramp?

Intermittent claudication feels like a cramp and is caused by decreased arterial blood flow to an extremity during activity . It may be caused by arterial spasm, atherosclerosis, or occlusion of an artery to the limb. Symptoms are usually relieved by a few minutes of rest, and definitive treatment depends on the cause. Muscle cramping, venous insufficiency, and sore muscles from overexertion are all incorrect in light of the patient's presenting complaints.

Which has a wider therapeutic window: digoxin or phosphodiesterase inhibitor?

Phosphodiesterase inhibitors have a wider therapeutic window than digoxin.

How many beats per minute before digoxin?

Before giving oral digoxin (Lanoxin), the nurse discovers that the patient's radial pulse is 52 beats/min. What will be the nurse's next action?

Which drug promotes the excretion of potassium in the kidneys?

D.) Digoxin promotes the excretion of potassium in the kidneys.

What is the primary effect seen with excessive doses of a drug?

D.) Hypertension is the primary effect seen with excessive doses.

Can a patient with heart failure be started on an ACE inhibitor?

A patient who has heart failure will be started on an oral ACE inhibitor. While monitoring the patient's response to this drug therapy, which laboratory tests would be a priority? Select all that apply.

Can digoxin be used to replace diuretics?

It should not be used to replace diuretics and should not be used repetitively or to improve renal function. While monitoring Mr. F. after oral digoxin (Lanoxin) administration, the nurse notes increased urinary output, decreased dyspnea and fatigue, and constipation.

Diagnosis

Treatment

Clinical Trials

Lifestyle and Home Remedies

Preparing For Your Appointment