a matter of practice

BLOK KARDIOVASKULER

1. Patient X complained ditusuk such as chest pain, usually pain relief at the way I am. I came to this hospital because the pain was also arise at the time I sit watching television until now.
Then the nurse do EKG examination, the result is ELEVATION ST segment.
a. Describe the causes / factors related to the patient's pain is X!
b. Describe interventions to overcome the pain!
c. Explain the procedure EKG examination!
d. Explain how the pain scale!
e. Describe interventions nurses to monitor side effects of drugs given to the patient's X!
2. Tn. H came to the hospital complained dizziness since 2 days ago. To ask the nurse about the problem. Then do the measurement of blood pressure, the result is 170/100 mmHg.
a. Describe the causes / factors related to the whim of Tn. H is!
b. Explain stage / high blood pressure in Tn. H is!
c. Describe the type of hypertension in the Tn. H is! How do I determine the type of hypertension!
d. Explain at least 5 risk factors that may need to be amended in the Tn. H is!
e. When Tn. H to get a diuretic drugs, described the intervention nurses to monitor side effects from the drug!
3. Dizzy patients complain, lemes repeated after 1 sunday transfuse blood, anemia history. Then doctors diagnosed leukemia.
a. Describe 2 nursing diagnosis that may appear in the patient!
b. Describe the intervention each nursing diagnosis is!
4. Describe the main nursing diagnosis on heart failure patients!
(includes a description of issues, etiology, and the characteristics and limits of nursing pathway)
5. 4 Explain the other nursing diagnosis (other than the main nursing diagnosis on heart failure patients!
6. Explain each nursing intervention in the matter of nursing diagnosis no 4 and 5 above!
7. Describe the measurement procedure JVP!
8. Create a format to monitor fluid balance and explain how to fill it!
9. Explain the health history that need to be first on the interference with the patient's heart valve!
10. Describe the signs and symptoms that distinguish between:
a. stenosis mitralis
b. insufisiensi mitralis
c. aorta stenosis
d. insufisiensi aorta

Case-1

Case 1:
Tn. X, the age of 50 years complained chest pain, crawling to the neck and left arm after the evening meal. Because the pain is not lost for 1 hour, and then taken to the hospital.
Results of: TD 150/90 mmHg, HR 120 times per minute, RR 28 times per minute, body temperature 38 º C. His father died because of heart attack, patients smoking since the age of 18 years, 160 cm high body weight 50 kg,

1. Pain in the Tn. X is ....
a. Angina pektoris unstabil
b. Pektoris stable Angina
c. Angina variants
d. Infark acute miokard
e. Infark chronic miokard

2. Below are the factors that aggravate the situation Tn. X and the need to Interfered ....
a. Sex male
b. Kebiasan smoking
c. Factors keturuan
d. Age 50 years
e. Obesity

3. Factors presipitasi pain in Tn. X is ....
a. Stoppage arteries koronaria
b. Kebiasan smoking
c. Factors descendants
d. Arteriosklerosis
e. Eating afternoon

4. Nursing action under this done right, except ....
a. Cold compress on the chest Tn. X
b. Inspection EKG
c. Giving oxygen
d. Monitor vital sign
e. Tirah lying

5. Goal action on the nursing problem Tn. X below that is not right ....
a. Lower the oxygen needs of the heart
b. Prevent the expansion of the damage miokard
c. Suplay increase oxygen miokard
d. Improve client activity
e. Prevent complications



Case 2:
Tn. G 50 years of age, weight 50 kg, treated in the RSU. The situation at the time treated at 14:00: the patient is still breathing difficulties, ¤ #, lie with the semi-Fowler position, received oxygen 3 L / min, ederma feet, ascites, Doofus inserted in the left arm D 5% 10 drops / min (150 still in flabot cc), inserted catherization, the amount of urine since 0700 is 400 hours cc.
Blood pressure of 110/60 mmHg, 26 X breaths / minute, pulse 100 X / minutes, the temperature 36 º C.
Has done a chest X-rays, the results kardiomegali. Diagnostic medical heart failure.
150à2 mins = 1cc
6. Shortness of breath on Tn. G is
a. Ortopneu
b. Paroxysmal Nocturnal Dyspneu
c. On Dyspneu effort
d. Gallop
e. Takhipneu

7. The main problem in the nursing Tn. G, is ...
a. The risk of damage to the integrity of the skin
b. Damage to the gas exchange
c. The excess fluid volume
d. The pattern of breath is not effective
e. The risk of infection

8. Classification of heart failure in the Tn. G according to the NYHA (New York Heart Association) is ....
a. Class I
b. Class II
c. Class III
d. Class IV
e. Class V

9. Collaborative problem formulated under this right, except ....
a. PK: Failed kidney bd suplay decrease in the blood to the kidney time
b. PK: Aritmia bd hipoksia miokard and increase the rate katekolamin
c. PK: Trombolitik b.d static vena and imobilisasi
d. PK: shock kardiogenik b.d heart failure is widely
e. PK: Hypertension b.d the excess fluid volume

10. At what time family provides infuse next? ....
a. 16:00 wib
b. 17:00 wib
c. 18:00 wib
d. 19:00 wib
e. 20:00 wib

For the Students STIKES Muhammadiyah Gombong

To improve the ability to use information technology, students are "forced" to take information from me as a facilitator of learning cardiovascular block. Therefore, I often suggest to open a blog that I manage this. Thank you.

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