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escribe rationale for each of the following interventions. Questions: Describe the care for a patient post PTCA and CABG Discuss: rationale for cardiac rehab Heart Failure Systolic Vs Diastolic Left sided Vs right sided Classifying and Staging Heart Failure: class I, II, III, IV: Box 48.3 Myocardial infarction cardiomyopathy Decrease cardiac output: fatigue Left ventricular failure: -Dyspnea, Cough Right Ventricular -Distended jugular veins -Anorexia, nausea, -Ascites Box 48: 4 Pitting edema: Box 48:2 Echocardiography EF <55% for systolic BNP levels above 100 pg/ mL Exercise stress testing -Nitrates: nitroglycerin - diuretic: Furosemide, Hydrochlorothiazide -Diuretic: spironolactone -Cardiac glycoside: digoxin -ACE inhibitors: lisinopril -Beta blockers: metoprolol -ARB: losartan -Inotropic agent: dobutamine -Nesiritide lifestyle modifications pharmacological treatments Table 48.6 -Monitor daily weight -assess abdominal girth -monitor for digoxin toxicity -monitor potassium levels -Assess lung sounds Patient teaching: Page 1856 Management of pulmonary edema: Table 48.7 -nutritional therapy -oxygen therapy SCIENCE HEALTH SCIENCE NURSING

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