NU155 MED SURG EXAM 3 WITH
COMPLETE SOLUTION
UNMODIFIABLE RISK FACTORS OF CVD: - ANSWER --HEREDITY
--RACE
--GENDER
--AGE
MODIFIABLE RISK FACTORS OF CVD: - ANSWER --OBESITY
--HIGH CHOLESTEROL (>200MG/DL)
--HTN
--DIABETES
--CIGARETTE SMOKING
--SEDENTARY LIFESTYLE
--EXCESSIVE STRESS
--EXCESSIVE ALCOHOL INTAKE
--COCAINE USE
DIAGNOSTIC TESTS & PROCEDURES FOR CVD: - ANSWER --ECG/EKG
--CHEST X RAY
,--AMBULATORY ECG (HOLTER MONITOR)
--ECHOCARDIOGRAM (HEART SONOGRAM)
--STRESS TEST (EXCERCISE TOLERANCE TEST)
--PERFUSION IMAGING
--CARDIAC CATHETERIZATION
--ELECTROPHYSIOLOGY STUDY (EPS)
LAB TESTS FOR CVD: - ANSWER -ARTERIAL BLOOD GAS (ABG)
-PULSE OX
-CARDIAC ENZYMES (CK, CK-MB, TROPONIN, MYOGLOBIN)
-CBC
-LIPID PROFILE (HDL, LDL, TRIGLYCERIDES)
-B-TYPER NATIURETIC PEPTIDE (BNP)
-C-reactive protein (CRP)
ASSESSMENT OF PT W/CVD: - ANSWER -VITALS
-HEART SOUNDS, MURMURS, PALPITATIONS, CHEST PAIN
-LUNG SOUNDS, DYSPNEA, ORTHOPNEA, PND, COUGH
-EXTREMITIES- EDEMA, WEIGHT GAIN
-FATIGUE, SYNCOPE
,-CONCENTRATED URINE
BLOCKAGE IN THE ARTERIES THAT SUPPLY THE HEART: - ANSWER
CORONARY ARTERY DISEASE (CAD)
CAUSES OF CAD: - ANSWER -ARTERIOSCLEROSIS
-ATHEROSCLEROSIS
ABNORMAL THICKENING, HARDENING, LOSS OF ELASTICITY OF ARTERIAL
WALLS: - ANSWER ARTERIOSCLEROSIS
BLOCKAGE ON THE INSIDE OF ARTERIES DUE TO FAT AND PLAQUES: -
ANSWER ATHEROSCLEROSIS
S/S OF CAD: - ANSWER -CHEST DISCOMFORT (TIGHTNESS, ACHING,
BURNING)
-CHEST PAIN RADIATING TO ARM, JAW, OR BACK
-DYSPNEA (SOB)
-TACHYCARDIA, PALPITATIONS
-N/V
-COLD, CLAMMY SKIN
, -UNDUE FATIGUE (WOMEN)
-WEAKNESS AND INABILITY TO COMPLETE USUAL ACTIVITIES W/O CHEST
PAIN OR DYSPNEA
ANGINA PECTORIS - ANSWER CHEST PAIN WHEN HEART DOES NOT HAVE
ENOUGH O2
WHAT IS THE MOST COMMON SYMPTOM OF CAD? - ANSWER ANGINA
PECTORIS
WHAT IS CONSIDERED STABLE ANGINA? - ANSWER PAIN LASTS LESS THAN
15 MINUTES
OCCURS W/ EXERCISE OR ACTIVITY AND USUALLY SUBSIDES W/ REST
WHAT IS CONSIDERED UNSTABLE ANGINA? - ANSWER PAIN MORE SEVERE,
OCCURS AT REST OR W/ MINIMAL EXERTION, MAY NOT BE RELIEVED BY
NITROGLYCERIN, IS UNPREDICTABLE
PAIN LASTS MORE THAN 15 MIN AND LESS THAN 30 MIN
NX INTERVENTIONS FOR ANGINA PECTORIS: - ANSWER -ASSESS/RECORD
PT'S PAIN SEVERITY, LOCATION, TYPE, AND DURATION
-CHECK BP AFTER GIVING NITROGLYCERIN
COMPLETE SOLUTION
UNMODIFIABLE RISK FACTORS OF CVD: - ANSWER --HEREDITY
--RACE
--GENDER
--AGE
MODIFIABLE RISK FACTORS OF CVD: - ANSWER --OBESITY
--HIGH CHOLESTEROL (>200MG/DL)
--HTN
--DIABETES
--CIGARETTE SMOKING
--SEDENTARY LIFESTYLE
--EXCESSIVE STRESS
--EXCESSIVE ALCOHOL INTAKE
--COCAINE USE
DIAGNOSTIC TESTS & PROCEDURES FOR CVD: - ANSWER --ECG/EKG
--CHEST X RAY
,--AMBULATORY ECG (HOLTER MONITOR)
--ECHOCARDIOGRAM (HEART SONOGRAM)
--STRESS TEST (EXCERCISE TOLERANCE TEST)
--PERFUSION IMAGING
--CARDIAC CATHETERIZATION
--ELECTROPHYSIOLOGY STUDY (EPS)
LAB TESTS FOR CVD: - ANSWER -ARTERIAL BLOOD GAS (ABG)
-PULSE OX
-CARDIAC ENZYMES (CK, CK-MB, TROPONIN, MYOGLOBIN)
-CBC
-LIPID PROFILE (HDL, LDL, TRIGLYCERIDES)
-B-TYPER NATIURETIC PEPTIDE (BNP)
-C-reactive protein (CRP)
ASSESSMENT OF PT W/CVD: - ANSWER -VITALS
-HEART SOUNDS, MURMURS, PALPITATIONS, CHEST PAIN
-LUNG SOUNDS, DYSPNEA, ORTHOPNEA, PND, COUGH
-EXTREMITIES- EDEMA, WEIGHT GAIN
-FATIGUE, SYNCOPE
,-CONCENTRATED URINE
BLOCKAGE IN THE ARTERIES THAT SUPPLY THE HEART: - ANSWER
CORONARY ARTERY DISEASE (CAD)
CAUSES OF CAD: - ANSWER -ARTERIOSCLEROSIS
-ATHEROSCLEROSIS
ABNORMAL THICKENING, HARDENING, LOSS OF ELASTICITY OF ARTERIAL
WALLS: - ANSWER ARTERIOSCLEROSIS
BLOCKAGE ON THE INSIDE OF ARTERIES DUE TO FAT AND PLAQUES: -
ANSWER ATHEROSCLEROSIS
S/S OF CAD: - ANSWER -CHEST DISCOMFORT (TIGHTNESS, ACHING,
BURNING)
-CHEST PAIN RADIATING TO ARM, JAW, OR BACK
-DYSPNEA (SOB)
-TACHYCARDIA, PALPITATIONS
-N/V
-COLD, CLAMMY SKIN
, -UNDUE FATIGUE (WOMEN)
-WEAKNESS AND INABILITY TO COMPLETE USUAL ACTIVITIES W/O CHEST
PAIN OR DYSPNEA
ANGINA PECTORIS - ANSWER CHEST PAIN WHEN HEART DOES NOT HAVE
ENOUGH O2
WHAT IS THE MOST COMMON SYMPTOM OF CAD? - ANSWER ANGINA
PECTORIS
WHAT IS CONSIDERED STABLE ANGINA? - ANSWER PAIN LASTS LESS THAN
15 MINUTES
OCCURS W/ EXERCISE OR ACTIVITY AND USUALLY SUBSIDES W/ REST
WHAT IS CONSIDERED UNSTABLE ANGINA? - ANSWER PAIN MORE SEVERE,
OCCURS AT REST OR W/ MINIMAL EXERTION, MAY NOT BE RELIEVED BY
NITROGLYCERIN, IS UNPREDICTABLE
PAIN LASTS MORE THAN 15 MIN AND LESS THAN 30 MIN
NX INTERVENTIONS FOR ANGINA PECTORIS: - ANSWER -ASSESS/RECORD
PT'S PAIN SEVERITY, LOCATION, TYPE, AND DURATION
-CHECK BP AFTER GIVING NITROGLYCERIN
