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Monitor
Quiz 1
30
Other
Graduate
09/09/2012

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Term
treatment of dyspnea
Definition
stop/rest
relaxation techniques
tailor program to level of tolerance (level 2-3 on dyspnea scale)
breathing retraining-pursed lip, diaphragmatic, GOAL:decrease demand for O2, make breathing easier
Term
treatment of angina
Definition
stop/rest
take vital signs
notify MD and RN and present signs/symptoms
NTG/O2 will need MD prescription
12 Lead EKG
Term
treatment of lighheadedness
Definition
monitor vital signs with positional changes;
if orthostatic hypotension, ask MD if TED hose, ace wraps, or ab binder can be used;
lie pt. back down if sitting;
sit pt. down if standing or march in place if standing
Term
treatment of vertigo
Definition
vestibular rehab-repositioning procedures; habituation exercises; functional training
Term
treatment of intermittent claudication
Definition
continue program to pt. tolerance (rest and then continue, rest and then continue, etc.) to increase efficiency of blood distribution to muscles, improve O2 extraction to trained muscles
Term
treatment of edema
Definition
RICE
Jobst compression pumps (clear of DVT)
compression stockings (clear of DVT)
massage (don't perform if CHF or DVT)
ace bandages (clear of DVT)
HOLD TREATMENT IF DVT IS SUSPECTED
Term
treatment of fatigue
Definition
rest
tailor treatment session to decrease workload
hold treatment if Hgb < 8
Term
treatment of diaphoresis
Definition
stop/rest
place pt. in supine if you don't suspect autonomic dysreflexia
monitor vital signs
notify MD/RN
Term
CAD monitor
Definition
coronary artery disease;
BP, pulse, signs/symptoms
Term
CAD monitor
Definition
coronary artery disease;
BP, pulse, signs/symptoms
Term
MI monitor
Definition
myocardial infarction;
BP, HR, signs, symptoms of angina, O2 saturation, EKG
Term
CABG monitor
Definition
coronary artery bypass graft;
symptoms of angina, BP, SpO2, HR, RR, incision, sternal precautions
Term
CHF monitor
Definition
congestive heart failure;
HR, BP, O2 saturation, watch for increase in HR with decrease in BP (orthostatic hypotension)
note: BL LE edema
Term
pacemaker monitor
Definition
HR, BP responses
Term
valve replacement monitor
Definition
BP, RR, SpO2, HR
Term
PVD monitor
Definition
peripheral vascular disease;
signs/symptoms of intermittent claudication, cyanosis, feelings of cold, numbness, signs of DVT, edema, absence of pulses
Term
pneumonia monitor
Definition
inflammation of lungs;
RR, SpO2, HR, tachypnea
Term
asthma monitor
Definition
RR, SpO2, HR
Term
emphysema monitor
Definition
loss of tension in lung tissue (no gas exchange);
SpO2, dyspnea on exertion, RR, cyanosis
Term
bronchitis monitor
Definition
RR, SpO2, cyanosis, decreased exercise tolerance
Term
cystic fibrosis monitor
Definition
RR, SpO2, cyanosis and digital clubbing, exertional dyspnea, sustained chronic cough with mucous production
Term
restrictive diseases monitor
Definition
decreased lung volume (pulmonary fibrosis, asbestosis);
RR, SpO2, dry non-productive coughs (except for asbestosis) and HR
Term
pulmonary embolism monitor
Definition
SOB, tachypnea, tachycardia, chest pain
Term
CVA monitor
Definition
cerebrovascular accident;
BP, c/o headache, HR, vision changes, tremors, weakness, seizures
Term
TIA monitor
Definition
transient ischemic attack;
BP, c/o of headache, HR, vision changes, tremors, weakness, seizures
Term
SCI monitor
Definition
BP, HR, c/o lightheadedness, SpO2, signs of DVT or PE, sensory/motor changes;
orthostatic hypotension with paralysis;
autonomic dysreflexia-caused by noxious stimuli (especially T5 and above), vasoconstriction with high BP and low HR --> LIFE THREATENING!
remediate noxious stimuli
Term
peripheral nerve injury monitor
Definition
sensation and motor (strength, coordination) changes
Term
diabetes monitor
Definition
confusion, lethargy, changes in mental function, sensation and circulation deficits
Term
hyperthyroidism monitor
Definition
HR (for tachycardia), increased sweating, heat intolerance, fatigue, tremor, nervousness, dyspnea, weight loss
Term
hypothyroidism monitor
Definition
depression of body metabolism;
HR (for bradycardia), dyspnea
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