Progressive Care Answers 2024
Pericarditis -
✔Inflammation of the pericardium, CP that goes away w/ mvmt and relieved w/
NSAIDS; ST elevation; Sharp, stabbing CP
Pericardial Effusion -
✔Accumulation of fluid in the pericardium (the sac around the heart);
complication of pericarditis;
-SOB, orthopnea, tachycardia (sx of HF)
-TX: NSAIDS----> Pericardiocentesis (depending on severity)
Pericardiocentesis -
✔surgical puncture to aspirate fluid from the sac surrounding the heart
Cardiac Tamponade -
✔acute compression of the heart caused by fluid accumulation in the pericardial
cavity
-s/sx: decreased CO, tachycardia, dyspea
-ECHO
-Pericardiocentesis
Hallmark of tamponade: Beck's triade -
✔Muffled heart sounds, Distended jugular neck veins, hypotension
Carotid Endarterectomy -
✔The surgical removal of the lining of a portion of clogged carotid artery leading
to the brain. This is done to reduce the risk of a stroke caused by a disruption of
blood flow to the brain.
Carotid Endarterectomy RN -
✔-Frequent neuro checks
-Close BP monitoring
-Airway monitoring
-Monitoring for hematoma formation
IVC filter -
✔Hemodynamically stable management for PE if anticoagulation
contraindicated; recent trauma
-Placed just below renal arteries
Abdominal aortic aneurysm -
✔Monitor
control BP
Surgery/repair
Emphysema (COPD breakdown) -
✔destruction of the alveoli, over time they become constricted and lose their
ability to expand
Bronchitis -
✔Increased mucous and inflammation; narrowing of bronchi, scar damage
(becomes chronic after 3 cases of acute)
Pulmonary Embolism -
✔A blood clot that breaks off from a large vein and travels to the blood vessels
of the lung, causing obstruction of blood flow.
Virchow's Triad -
✔Risk factors for PE: Stasis of Blood flow (immobility), hypercoagulability, injury
or damage (postop pts), CA pt's,
