EXAM WITH CORRECT SOLUTIONS.

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EXAM 2 NR 545

EXAM WITH CORRECT SOLUTIONS.

Chest Pain AKA Angina Patho - correct answer- Patho: Chest

pain associated with decreased blood flow or ischemia to the myocardial tissue.

Chest pain PA - correct answer- Physical Assessment: chest

heaviness Pressure Squeezing Fullness Pain radiates to left shoulder, arm, or jaw.Elevation of blood pressure during attack

Chest pain Pharm - correct answer- Pharm: Nitroglycerin-

relaxes and widens blood vessels

Dosing: 0.3-0.6mg every 5 minutes for max of 3 doses

Long-term treatment to consider: ACE Inhibitors & Beta-

Blockers

Chest pain risks - correct answer- Risks and complications:

Acute Coronary Syndrome 1 / 3

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Myocardial Infarction - correct answer- blood flow to the heart is minimized.Buildup of cholesterol

MI Patho - correct answer- imbalance between myocardial oxygen supply and demand Prolonged for greater than 30 minutes can lead to cardiac tissue death.

MI PA - correct answer- Pain at rest Not relieved with nitro Lightheaded Impending doom Nausea Diaphoresis Wheezing

MI Dx - correct answer- Troponins elevated, often stay elevated for one week after infarction.EKG- ST elevation or new left bundle branch block

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Atherosclerosis - correct answer- when blood vessels that carry oxygen to organs and tissues is restricted.Hardening of vessels from buildup of fats, cholesterol in the artery walls Happens gradually.Formed plaque can break off and burst, triggering a blood clot.

Atherosclerosis patho - correct answer- inflammatory process that begins with damage to the endothelium often result of HTN, smoking, high cholesterol, or other risk factors.Fatty streak to fibrous plaque and then complicated lesion

Atherosclerosis PA - correct answer- modifiable risk factors Fluid retention Fatigue Neck vein distension Edema Calf pain

Atherosclerosis Dx - correct answer- Dx: Stress tests

Chest Xray EKG

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