©THEBRIGHT EXAM SOLUTIONS
11/8/2024 12:08 PM
NURS 5463 Mod 1 Exam Study Guide
CP - Cardiac Differential - answer✔MI
Aortic Dissection
Valvular Disease
Pericarditis
Myocarditis
Angina
Coronary spasm
CP - Pulmonary Differential - answer✔PE
Pneumothorax
Pneumonia
Pleurisy
CA
Sarcoidosis
CP - Other Differential - answer✔PUD
Pancreatitis
Gastritis
GERD
Biliary disease
Herpes Zoster
Mediastinitis
Musculoskeletal injuries
MI CP - answer✔Tightness, pressure, radiating (w/ N/V, SOB and diaphoresis)
, ©THEBRIGHT EXAM SOLUTIONS
11/8/2024 12:08 PM
Aortic Dissection CP - answer✔sudden onset of excruitating pain usually beginning in the anterior chest,
radiating to the back and moves downward as dissection progresses
may be confused with a MI
seen mainly in man 4-60 years with HTN and younger patients with Marfan's
Pericardial CP - answer✔Sharp, stabbing, left chest, better when getting up or sitting forward, worse w/
lying supine
Pleuritic CP - answer✔Sharp pain with inspiration
Also seen in Pneumonia and PE
HPI CP - answer✔Onse
Assoc factors
alleviating/worsening factors
quality
sevrity
radiating
timing
recent sx?
forceful emesis?
recent infection?
family hx?
D-Dimer - answer✔Good to rule out, bad to rule in
can be elevated in other processes (Sepsis, ESRD)
CP Diagnosistics/Work up - answer✔EKG
Labs (CBC, CMP, Amy, Lip, Trop Q6H, CK, CKMB, Dimer)
Imaging (CXR, CTA, Echo, stress test)
CP Geriatric Considerations - answer✔Always suspect AMI first, watch for atypical s/s ("CP" less likely)
11/8/2024 12:08 PM
NURS 5463 Mod 1 Exam Study Guide
CP - Cardiac Differential - answer✔MI
Aortic Dissection
Valvular Disease
Pericarditis
Myocarditis
Angina
Coronary spasm
CP - Pulmonary Differential - answer✔PE
Pneumothorax
Pneumonia
Pleurisy
CA
Sarcoidosis
CP - Other Differential - answer✔PUD
Pancreatitis
Gastritis
GERD
Biliary disease
Herpes Zoster
Mediastinitis
Musculoskeletal injuries
MI CP - answer✔Tightness, pressure, radiating (w/ N/V, SOB and diaphoresis)
, ©THEBRIGHT EXAM SOLUTIONS
11/8/2024 12:08 PM
Aortic Dissection CP - answer✔sudden onset of excruitating pain usually beginning in the anterior chest,
radiating to the back and moves downward as dissection progresses
may be confused with a MI
seen mainly in man 4-60 years with HTN and younger patients with Marfan's
Pericardial CP - answer✔Sharp, stabbing, left chest, better when getting up or sitting forward, worse w/
lying supine
Pleuritic CP - answer✔Sharp pain with inspiration
Also seen in Pneumonia and PE
HPI CP - answer✔Onse
Assoc factors
alleviating/worsening factors
quality
sevrity
radiating
timing
recent sx?
forceful emesis?
recent infection?
family hx?
D-Dimer - answer✔Good to rule out, bad to rule in
can be elevated in other processes (Sepsis, ESRD)
CP Diagnosistics/Work up - answer✔EKG
Labs (CBC, CMP, Amy, Lip, Trop Q6H, CK, CKMB, Dimer)
Imaging (CXR, CTA, Echo, stress test)
CP Geriatric Considerations - answer✔Always suspect AMI first, watch for atypical s/s ("CP" less likely)
