HONDROS NUR 245 EXAM 1
CAD patho - ANS slowly impacts perfusion and sx come late
what is a non-stemi? - ANS partial occlusion can wait 48-72 hrs to be tx'd
what is a STEMI? - ANS total occlusion, ST elevation, go to Cath lab 90 mins
If pt has a STEMI and the hospital doesn't have a cath lab what is to be done? - ANS Give TPA within 30
mins of sx then ship to a hospital that does now they have 120mins to get to Cath lab
What is unstable angina? - ANS Chest pain that occurs at rest
If pt comes in with chest pain what is the first thing to be done? - ANS EKG
what are PCI's - ANS stents or balloon
how is tresslers tx'd? - ANS increased dose of aspirin
will have fever
when a pt with chest pain needs pain meds what is given first? - ANS nitro then morphine
what is a complication of CAD - ANS chronic stable angina
What is ADHF patho? - ANS fluid build up in the lungs and body
this is a SUDDEN onset
, What sided HF will ADHF have? - ANS both sides and exaserbated
What med will be used first for ADHF? - ANS diaretics (furosemide or lasix)
what is happening in the body with ADHF? - ANS pulmonary congestion combined with fluid volume
overload
what are left sided HF S/S? - ANS (LUNGS) crackles, orthopnea, dyspnea, extra heart sound(S3), pink
frothy sputum, mental status change, Cyanosis, shallow respirations
What are right sided HF S/S? - ANS (Rest of Body) JVD, Weight Gain, Ascites, peripheral edema,
Spleenomegaly, hepatomegaly, Nausea
what are both sided HF S/S? - ANS Fatigue, anxiety, tachycardia
pt is laying flat and having issues breathing, O2 is on the floor, what will you do first? - ANS Raise HOB
then put o2 on then asses pt
(least invasive first)
what is the #1 reason HF Occurs? - ANS CAD and hypertension
what lab is checked for HF? - ANS BNP- over 100 pt is in HF
How will a pt look if in V-FiB - ANS unresponsive, panic, pulseless
How is V-FiB tx'd? - ANS CPR, DFiB
CAD patho - ANS slowly impacts perfusion and sx come late
what is a non-stemi? - ANS partial occlusion can wait 48-72 hrs to be tx'd
what is a STEMI? - ANS total occlusion, ST elevation, go to Cath lab 90 mins
If pt has a STEMI and the hospital doesn't have a cath lab what is to be done? - ANS Give TPA within 30
mins of sx then ship to a hospital that does now they have 120mins to get to Cath lab
What is unstable angina? - ANS Chest pain that occurs at rest
If pt comes in with chest pain what is the first thing to be done? - ANS EKG
what are PCI's - ANS stents or balloon
how is tresslers tx'd? - ANS increased dose of aspirin
will have fever
when a pt with chest pain needs pain meds what is given first? - ANS nitro then morphine
what is a complication of CAD - ANS chronic stable angina
What is ADHF patho? - ANS fluid build up in the lungs and body
this is a SUDDEN onset
, What sided HF will ADHF have? - ANS both sides and exaserbated
What med will be used first for ADHF? - ANS diaretics (furosemide or lasix)
what is happening in the body with ADHF? - ANS pulmonary congestion combined with fluid volume
overload
what are left sided HF S/S? - ANS (LUNGS) crackles, orthopnea, dyspnea, extra heart sound(S3), pink
frothy sputum, mental status change, Cyanosis, shallow respirations
What are right sided HF S/S? - ANS (Rest of Body) JVD, Weight Gain, Ascites, peripheral edema,
Spleenomegaly, hepatomegaly, Nausea
what are both sided HF S/S? - ANS Fatigue, anxiety, tachycardia
pt is laying flat and having issues breathing, O2 is on the floor, what will you do first? - ANS Raise HOB
then put o2 on then asses pt
(least invasive first)
what is the #1 reason HF Occurs? - ANS CAD and hypertension
what lab is checked for HF? - ANS BNP- over 100 pt is in HF
How will a pt look if in V-FiB - ANS unresponsive, panic, pulseless
How is V-FiB tx'd? - ANS CPR, DFiB
