Ashley Shared "PN 164 Week 9" - 10 Picmonics
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PN 164 Week 9
- Mechanism
- Essential Hypertension
- Secondary Hypertension
- Assessment
- Headache
- Vision Changes
- Nosebleed (Epistaxis)
- Chest Pain
- Syncope (Fainting)
- Diagnosis
- Average 2 Sets, 2 Minutes Apart
- After 2 or More Visits (within 1-4 weeks)
- Nursing Considerations
- Take BP Both Arms
- Common in African Americans
- Excessive Alcohol Consumption
- High Sodium Diet
- Dyslipidemia
- Obesity
- People of African Descent
- Advanced Age
- Vitamin D Deficiency
- Reduced Nephron Number
- Diabetes
- Lack of Physical Activity
- Diuretics
- ACE Inhibitors
- Angiotensin Receptor Blockers (ARBs)
- Beta Blockers
- Dihydropyridine Calcium Channel Blockers
- Lifestyle Modifications
- Weight Reduction and Exercise
- Diet Changes
- Relaxation Techniques
- Smoking Cessation
- Medications
- Encourage Self Monitoring
- Mechanism
- Atherosclerosis
- Assessment
- Intermittent Claudication
- Pain with Exercise
- Paresthesias
- Arterial Ulcers
- Critical Limb Ischemia
- Amputation
- Consideration
- Ankle-Brachial Index (ABI)
- Absent or Decreased Pulses
- Intermittent Claudication
- Sharp Pain
- Dependent Rubor
- Well Defined Edges
- Over Bony Areas
- Smooth, Shiny Skin
- Toes, Heels, Lateral Lower Legs
- Cool
- Mechanism
- Venous Wall Inflammation caused by Thrombus
- Assessment
- Tenderness
- Edema
- Warmth
- Asymmetry
- Considerations
- Could be Asymptomatic
- Monitor for Pulmonary Embolism
- Anticoagulants
- Prevention Education
- Frequent Ambulation
- Leg Exercises
- Compression Stockings or SCD's
- Avoid Nicotine and Oral Contraceptives
- Surgery
- 3 Months to 3 Years
- warfarin preferred in long term in renal failur
- unfractionated heparin
- Wells greater than 4 or positive workup
- Hemodynamically Unstable PE or Limb Threatening Ischemia?
- Yes: Thrombolytics OK?
- Yes: give tPA
- No, or tpa didn't work: surgical/mechanical thrombectomy
- h/o intracranial hemorrhage
- Life-threatening active bleeding
- Head trauma/stroke in past 3 months
- Recent surgery
- No: Anticoagulants OK?
- No: IVC Filter
- Yes: LMWH
- Unfractionated heparin in renal failure
- Septic embolization: antibiotics
- Wells less than 4: Do workup (D dimer, CT PE, etc)
- Recurrent DVT
- Recurrent DVT
- INR therapeutic but still getting DVTs: IVC Filter
- INR therapeutic but still getting DVTs: IVC Filter
- INR Subtherapeutic: Change or restart anticoagulants
- INR Subtherapeutic: Change or restart anticoagulants
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