Progressive Care

Abdominal aortic aneurysm - Monitor control BP Surgery/repair Afterload - The force or resistance against which the heart pumps. -The more we increase afterload (the resistance to which the heart has to pump against), the decrease in CO). Bronchitis - Increased mucous and inflammation; narrowing of bronchi, scar damage (becomes chronic after 3 cases of acute) Cardiac output - Stroke Volume x Heart Rate Cardiac Output is - The amount of blood pumped out of the heart each minute and sent out to the body -approx. 4-8L/min Cardiac Tamponade - acute compression of the heart caused by fluid accumulation in the pericardial cavity -s/sx: decreased CO, tachycardia, dyspea -ECHO -Pericardiocentesis 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 Clicks (auscultation) - Mechanical valve Emphysema (COPD breakdown) - destruction of the alveoli, over time they become constricted and lose their ability to expand flash pulmonary edema - very restless hypoxemia, Blood tinged sputum, Feeling of doom, suffocation; nurse should elevate HOB, put patient on oxygen, put pulse ox. on, stay with patient, you may have to call RRT; patient may need to go to dialysis to pull the extra fluid ou