Nsg 6420 Cv |87 Questions| With Correct Answers.

Aortic Stenosis {Ans: Common among ages 15-65 Normally congenital Rheumatic fever 2nd most common etiology Patients may be asymptomatic in early years but then in 5th or 6th decade, acute deterioration with onset of symptoms PE Heard best at second intercostal space (ICS), to right of the sternum and carotids or apex. Audible S4, apex impulse if strong Narrow pulse pressure Chest pain, syncope, fatigue, and swelling to lower legs or abdomen}Isolated Systolic Hypertension ( ISH) {Ans: }3 Goal of Treatment AFIB {Ans: Anticoagulation: Initiation is based on risk for thromboembolism independent of AF type, based on stroke/bleed risks, basis of atrial fibrillation (valvular or nonvalvular abnormality), renal function, and patient preferences. Warfarin is the only approved anticoagulant for valvular atrial fibrillation Ventricular rate control with beta blocker or nonhydropyridine calcium channel blocker Rhythm control with antiarrhythmic drugs}Coronary Artery Disease: Management {Ans: Lifestyle Modifications: Healthy weight: BMI: 18.5-24.9 Physical Activity: 150 min/week) Tight glycemic control (A1c < 7%) Smoking Cessation B/P control Dyslipidemia controlled Waist circumference,< 40 inches for men and < 35 inches for women}S2 {Ans: (Diastole): S2 is the "dub" of ("lub-dub") Closure of the aortic and pulmonic valves Semilunar valves}LDL {Ans: