NUR 280 EXAM 3
- What do we hear when blood does not flow correctly through the artery?
Answer
-
bruit
- What causes a bruit?
Answer
Endothelial Injury (inflammation, atherosclerosis) Arterial stenosis (narrowing of artery)
- What are our clients at risk for with sluggish, stagnant, or turbulent blood flow?
Answer
thrombus formation
- What are our endothelial lining destroyers?
Answer
Lipids Lipoproteins
Glucose Free Radicals Nicotine Homocysteine
- hyperlipidemia and hypertension lead to
Answer 1 / 4
atherosclerosis (plaque build up)
- Extrinsic Pathway of Coagulation
Answer
When tissue is cut (skin, mucous mem- branes, vessels)
Activation of Factor 7 Contacts tissue factor to form TF-Factor 7 Leading to Factor 10
Measured by lab tests
Answer
PT and INR review recording
- Intrinsic Pathway of Coagulation
Answer
Injury to a vessel (ex. AFIB) Activation of Factor 12
Eventually activates Factor 10 Measured by lab test
Answer
aPTT
- Fibrinolysis
Answer
dissolution of a clot 2 / 4
- alteplase (rtPA)
Answer
a drug used to therapeutically break down clots
- Arteries
Answer
- carry blood away from the heart 6 P's
Answer
Pain Paraesthesia Pulseless Pallor Cool Paralysis
- bigger than veins
- high pressure
- thick muscle
- distribute oxygen, nutrients, hormones
- Veins
Answer
- blood back to the heart
- stretches more than arteries
- thin-walled
- rely on skeletal muscle
- superficial vs deep
- no pulse
- hold most of the blood in the body
- elevate edema 3 / 4
- Endothelial Lining Destroyers
Answer
- trama
- smoking
- physical inactivity
- diabetes
- extrinsic and intrinsic pathway
- free radicals
- homocysteine (vitamin 12 deficiency making it acidic)
- Hypertension
Answer
- high blood pressure
- silent killer
- causes strain on the heart
- greater than 130/80
- raises the rate
- high risk
Answer
smokers, alcoholics, African Americans, obesity
- primary and secondary
- 2 or more BP readings of systolic greater than 130 and diastolic greater than 80
- shearing force
- diagnosis
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