Exam 13: Diseases of the Cardiovascular System
During the development of atherosclerosis, as platelets adhere to the sub-endothelial surfaces, they begin to secrete both adenosine diphosphate (ADP) and:
B
Describe each of the components of nutrition intervention for heart failure, including sodium restriction, energy and protein requirements, fluid intake, and drug-nutrient interactions.
A 2000-mg sodium diet is a standard initial recommendation for individuals with HF. Adjustments to levels of 2000 mg, 1000 mg, or 500 mg may be prescribed depending on the patient's individual medical condition-specifically, fluid and volume states as well as overall oral intake. Energy needs should be determined by indirect calorimetry. Daily protein intake should be 1.13 g/kg of body weight for patients in a nourished state or 1.37 g/kg for those in a stable malnourished state. Fluid requirements are typically calculated at 1mL/kcal or 35 mL/kg. For HF, fluid is restricted to less than 2000 mL/day for a serum sodium below 130 mEq/L. The use of multiple diuretics in the medical treatment of HF may lead to losses of multiple water-soluble nutrients, including potassium, magnesium, thiamin, riboflavin, folate, and vitamin B12.
Gemfibrozil is a type of medication used to control high cholesterol and is classified as a(n):
D
Post-surgery education on basic food safety after heart transplant should be provided since transplant patients are more susceptible to _______________ due to immunosuppressant therapy.
It is not unusual for individuals to experience episodes of _______________ in response to an increase in cardiac workload.
The repeating contraction and relaxation of the heart is termed the:
What is the recommended amount of protein intake during the initial phase after heart transplant?
Discuss each of the following components when evaluating clinical hypertension: classification of blood pressure, major cardiovascular disease risk factors, identifiable causes of hypertension.
Clients with atrial fibrillation should be educated on foods that are high in vitamin K and how to check product labels for vitamin K contents.
The causes of an acute MI or unstable angina are plaque erosion, rupture of a plaque resulting in formation of a thrombus, and vasoconstriction.
The veins from the upper part of the body drain into the _______________ vena cava.
_______________ are medications that affect the movement of calcium, which causes the blood vessels to relax and therefore reduces vasoconstriction.
Describe the components of the rapid eating assessment for patients (REAP) and give an example of a question applicable to each category of the assessment.
Current recommendations include maintenance of dietary fat intake within 10%-15% of total caloric intake for patients with atherosclerosis.
Which best describes an echocardiogram, which may be used to diagnose heart disease?
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