In the morning, W.R. is transferred by helicopter to the medical center, and a cardiac catheterization is performed. It is determined that W.R. has coronary artery disease (CAD). The cardiologist suggests it would be best to treat him medically for now
What does it mean to treat him "medically"? What other approaches might be used to treat
CAD?
Medical management involves several components and is often considered conservative treatment.
Adjustment or addition of pharmacologic treatment for coronary risk factors (e.g., hyperlipidemia,
HTN) with medications—nitrates, beta-adrenergic blockers, aspirin therapy, "statins" (lipid-lowering
agents)—has been shown to reduce mortality and future coronary events. In addition, if a patient's
ejection fraction is less than 40%, an angiotensin-converting enzyme (ACE) inhibitor or angiotensin II
receptor blocker (ARB) will be needed. Advice about lifestyle modification might be needed (weight
loss, smoking cessation, exercise, dietary modifications, alcohol moderation). Other approaches
involve surgical procedures: coronary artery bypass graft (CABG), stent placement, percutaneous
transluminal coronary angioplasty (PTCA), or balloon angioplasty with stent placement
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A nurse educator is planning a class for a group of nursing students regarding risk management. Which information should the educator include in this presentation?
Select all that apply. A) Risk management seeks to prevent harm. B) Risk management empowers clients. C) Risk management controls the cost of supplies. D) Risk management examines past mistakes and identifies potential hazards. E) Risk management assures that nurses are truthful.
Which of the following clients would be best served by a case manager?
A. 70-year-old woman with chronic cystitis B. 55-year-old man with moderate hypertension C. 65-year-old woman with chronic congestive heart failure and diabetes mellitus D. 28-year-old man with a fractured ankle from a sports injury and seasonal allergies to molds and pollens
It is important to determine the desired dose before calculating the amount to administer
Indicate whether the statement is true or false
The nurse is making a postpartum home visit in the summer. The new father asks about taking the baby to a family outing this weekend. The nurse should encourage the father to:
1. Cover the infant with dark blankets to block the sun. 2. Keep the infant in the shade. 3. Uncover the infant's head to prevent hyperthermia. 4. Avoid taking the infant outdoors for 6 months.