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nur 425 - cc angina and acute coronary syndrome questions and answers
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nur 425 - cc angina and acutecoronary syndrome questions
and answers
what causes angina? - answer imbalance between myocardial
oxygen supply and demand (ischemia)
what is the primary symptom of angina? - answer chest pain
how can anginal pain be described? - answer squeezing, burning,
heavy, tight, smothering, choking, pressure
what are other symptoms associated with angina? - answer
dyspnea, lightheadedness, diaphoresis
what is stable angina? - answer ischemia, occurs with exertion,
relieved with rest, negative cardiac enzymes, ST depression or T
wave inversion
is stable angina ACS? - answer no
what is unstable angina? - answer ischemia with high risk for MI,
severe crescendo pain, occurs at rest, negative cardiac enzymes, ST
depression or T wave inversion or no change
is unstable angina ACS? - answer yes but not MI
what are the common locations of pain during angina/ACS? - answer
mid sternum/left shoulder and down both ar,s/neck and arms,
, substernal radiating to neck and jaw/substernal radiating down left
arm, epigastric/epigastric radiating to neck/jaw and arms,
intrascapular
what are female patients suffering from angina more likely to
report? - answer fatigue, shortness of breath, anxiety
what is silent ischemia? - answer ischemia that occurs in the
absence of any subjective symptoms (chest pain)
what are the types of myocardial infarction? - answer NSTEMI and
STEMI
what is an NSTEMI? - answer partial occlusion of artery causing
myocardial cell death, no ST elevation
what does an NSTEMI look like on the EKG and labs? - answer ST
depression, T wave inversion, positive cardiac enzymes
what is the intervention for an NSTEMI? - answer go to the cath lab
for PCI to reperfuse the heart
what is a STEMI? - answer total occlusion of artery causing
myocardial cell/tissue death, ST elevation
what does a STEMI look like on the EKG and labs? - answer ST
elevation, pathologic Q wave may develop, positive cardiac enzymes
what is the intervention for a STEMI? - answer go to cath lab for
PCI within 90 minutes
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