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Recap Notes Cholesterol Values LDL/HDL/Total Cholesterol HDL = greater than 40 LDL = less than 100 Total Cholesterol = less than 200 Lipids less than 150 males and less than 135 females Heart Placements 2 nd intercostal right sternum = aorta valve 2 nd intercostal left sternum = pulmonic valve Erb’s point best s1 s2nsound is 3rd intercostal to left of sternum – Not required to identify in cpe Tricuspid valve 4th intercostal space left of sternum Mitral 5th intercostal space mid clavicular, apical under breast tissue. Healthy heart Diet/Exercise = low fat low cholesterol low sodium diet, moderate regular exercise needs program regimen and increase omega 3, manage stress, and smoking cessation class or quitting Cardiac Topics: HTN, PAD, Amputation, DVT, CAD, HF, Ventricular Tachycardia, Ventricular Fibrillation, Sinus rhythm, Sinus bradycardia, Sinus Tachycardia. Don’t forget to review cardiac meds: ACE inhibitors, beta blockers, calcium channel blockers, cardiotonic (digoxin), diuretics (potassium sparing and non-sparing). Review labs such as cholesterol and lipid levels, aPTT, PTT and PT normal range and therapeutic levels, BNP, troponin level for CAD (to rule out MI). Review heart sounds/placement. HTN – Persistent BP of 140/90 and above • Pre-hypertension – what is it? What does it look like • Hypertension o What are the risk factors? – modifiable vs non-modifiable o What does it look like? o How is it treated?  Include addressing medication teaching, safety, such as, monitoring parameters and what to do. • Malignant hypertension – What is it? What does it look like? How is it treated? Hypertension – Normal Blood Pressure is 120/80 Prehypertension
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