Activity Exercise Pattern Cardiac By Elola Maberry MSN

Activity – Exercise Pattern Cardiac By Elola Maberry MSN, RN

Assessment § Nursing history § Diagnostic studies – EKG § Bedside § 12 -lead – Blood tests § Hgb § Electrolytes – potassium

Assessment § Nursing history § Diagnostic studies – EKG § Bedside § 12 -lead – Blood tests § Hgb § Electrolytes – potassium – Hemodynamic studies § Evaluation of pressures involved in blood circulation – Physical assessment § Auscultation of apical pulse, carotid arteries, lung sounds, assessment of skin color, temperature, edema

Risk factors for coronary artery disease § Nonmodifiable – – – Heredity Age Gender

Risk factors for coronary artery disease § Nonmodifiable – – – Heredity Age Gender § Modifiable – – – Hypertension Cigarette smoking Obesity Sedentary lifestyle Elevated lipid levels

Cardiac Output § CO = Stroke Volume X Heart Rate § Factors affecting cardiac output – Heart rate – Contractility – Preload – Afterload

Assessment of Respiratory Function § Nursing History § Physical assessment – assess respiratory rate, depth, rhythm, position client assumes, thoracic lung expansion, auscultation of breath sounds § Diagnostic studies – Sputum – Pulmonary function tests – Arterial blood gases

Factors Affecting Respiration § § § Age Environment Lifestyle Health status Medications Stress

Alterations in Respiration § Hypoxia § Hypoxemia

Alterations in Respirations § Altered breathing patterns rate, volume, rhythm, ease of respiratory effort § Cheyne – Stokes § Kussmaul’s § Orthopnea