NR 545 Exam 2 Questions and Correct
Answers
What is CAD ?
✓ ~~~ coronary artery disease
What causes coronary heart disease?
✓ ~~~ build up of plaque made by cholesterol in the arteries
How do you diagnose CAD ?
✓ ~~~ EKG
Echo
Stress test
Chest xray
Angiogram
What is ischemia?
✓ ~~~ lack of blood flow
ischemia is also called ?
✓ ~~~ Coronary artery disease
what are the assessment findings for ischemia ?
✓ ~~~ Pain or discomfort in upper body
Angina
Cold sweat
Feeling full , indigestion
Nausea
Dizzy
Fast ir irregular heart beat
What is a holter monitor?
✓ ~~~ An ambulatory ECG that monitors patients for 24-48 hours
what are the EKG findings of myocardial ischemia ?
✓ ~~~ ST depression
How do you treat Ischemia ?
✓ ~~~ Nitroglycerin
Beta blockers
Calcium channel blockers
Thrombolytics
people who can't take aspirin should take what instead ?
✓ ~~~ Clopidogrel
What is angina?
, ✓ ~~~ Insufficient oxygen to the heart muscle causing sudden, severe
substernal pain radiating to the left arm
what are the symptoms of angina ?
✓ ~~~ - pallor
- Diaphoresis
- Nausea
- elevated BP
- Gallop rhythm or apical murmur
How long do attacks of angina last ?
✓ ~~~ 3-20 mins
How do you diagnoses angina ?
✓ ~~~ - troponin
- CK-MB
-ECG
what is the other name for myocardial infarction?
✓ ~~~ heart attack
What causes a myocardial infarction?
✓ ~~~ atherosclerosis
pain at rest, severe and not relived by nitroglycerin is ?
✓ ~~~ Myocardial infarction
what is the ECG findings for MI?
✓ ~~~ ST elevation
Other than high troponin how do you diagnoses MI through blood test ?
✓ ~~~ Leukocytosis and elevated CRP
what does CRP levels suggest ?
✓ ~~~ signifies inflammation
what is atherosclerosis?
✓ ~~~ a build-up of cholesterol that forms plaque in the arteries,
when plaque breaks away it can form a clot
Assessment of Atherosclerosis
✓ ~~~ - Neck vein distention
-Pulse deficits
-Edema and calf pain
- Recent and increasing fatigue
Diagnosis of Atherosclerosis
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