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NR 545 (EXAM 2) 111 QUESTIONS WITH VERIFIED ANSWERS RATED A+ LATEST UPDATE!!PASSED!!

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NR 545 (EXAM 2) 111 QUESTIONS WITH VERIFIED ANSWERS RATED A+ LATEST UPDATE!!PASSED!!

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NR 545 (EXAM 2) 111 QUESTIONS
WITH VERIFIED ANSWERS RATED A+
LATEST UPDATE!!PASSED!!
WhatmismAngina?m-
mCORRECTmANSWERSmAngina,mormanginampectoris,mismoftenmdescribedmasmchestmpainmusuallymprec


ipitatedmbymstressmormexertionmandmrelievedmrapidlymwithmrestmormnitrates.mThosemwithmanginamre
portmvaryingmsymptomsmincludingmchestmpainmcategorizedmasmsqueezingmwhilemothersmdescribemt
hempainmlikemamheavymweightmbeingmplacedmonmthemchest.mAnginamismrelativelymcommon,mandmusu
allymduemtomatheroscleroticmheartmdisease.



WhatmismthemPathomofmAngina?m-
mCORRECTmANSWERSmAnginamismchestmpainmthatmismassociatedmwithmdecreasedmbloodmflowmormisc


hemiamtomthemmyocardialmtissue.mThemdecreasedmbloodmflowmmaymbemthemresultmofmatheroscleros
ismormcoronarymarterymspasm.mNeuralmpainmreceptorsmaremstimulatedmbymacceleratedmcellularmmet
abolism,mchemicalmchanges,mandmimbalances



WhatmaremsignsmandmsymptomsmofmAngina?m-mCORRECTmANSWERSm-mchestmheaviness

-mchestmpressure

-
msqueezingmormfullnessmSometimesmthismpainmradiatesmtomthemleftmshouldermandmarmmwhilemother
smreportmpainminmthemjaw.



Generally,mthemattackmlengthmcanmrangemanywherembetweenmthreemminutesmtomtwentymminutes.m
Attacksmreportedmatmgreatermthanmthirtymminutesmaremconcerningmandmcouldmindicatemthemdevelo
pmentmofmacutemcoronarymsyndrome.



Whatmlabmtestmaremneededmformangina?m-mCORRECTmANSWERSm-mTroponinm

,-mCK-
MB:mtomevaluatemformacutemcoronarymsymptomsmasmwellmasmformanemiamwhichmmightmbemcontribu
tingmtomischemicmchestmpain.

-mAnmECGmshouldmalsombemobtainedmtomrulemoutmacutemcoronarymsyndrome.



WhatmarempharmacologicalmremediesmformAngina?m-
mCORRECTmANSWERSmNitroglycerinm(Drugmofmchoice):m




Nitroglycerinmrelaxesmandmwidensmthembloodmvesselmpromotingmeasiermbloodmflowmtomthemheartm
muscle.mDosingmofmnitroglycerinmism0.3-
0.6mmgmbymtranslingualmspraymormsublingualmtabletmeverymfivemminutes,masmindicatedmwithmammaxm
ofm3mdosesminm15mminutes.



Beta-BlockersmandmACEminhibitors



Whatmismammyocardialminfarction?m-mCORRECTmANSWERSm(HeartmAttack)m



Ammyocardialminfarctionm(MI)moccursmwhenmbloodmflowmtomthemheartmismminimized.mThemblockage
mismmostmoftenmcausedmbymambuildupmofmcholesterol,mwhichmformsmamplaqueminmthemarteriesmthatm


circulatemoxygenatedmbloodmflowmtomthemmyocardium.mWhenmthemplaquembreaksmawaymitmcanmfor
mmamclot,minterruptingmormcompletelymblockingmbloodmflowmandmdestroyingmampartmofmthemheartm
muscle.mUnlikemwithmanmepisodemofmangina,mthosemexperiencingmammyocardial

infarctionmoftenmreportmsymptomsmofmpainmatmrest.



WhatmismthempathomofmamMyocardialmInfarction?m-
mCORRECTmANSWERSmDuringmammyocardialminfarctionmtheremismanmimbalancembetweenmmyocardi


almoxygenmsupplymandmdemand.mProlongedmischemiam(>30mminutes)mfrommthemlackmofmcirculating
mbloodmflowmtomthemmyocardiummresultsminmcellularmdeath,mfurthermimpactingmthemheart'smabilitym


tomfunction.mDependingmonmthemextentmofmthemcellmdeath,mthemheartmmightmhavemdecreasedmcont
ractilitymresultingminmwallmfunctionmabnormalitiesmfurthermplacingmthempatientmatmriskmformdecomp
ensation.

, WhatmaremthemsymptomsmofmamMyocardialmInfraction?m-mCORRECTmANSWERSm-
mSharpmradiatingmpainm(Evenmatmrest)



-mLight-headedmormhavemincreasedmfeelingsmofmanxietymormimpendingmdoom.

-mNauseam(moremcommonminmrightmcoronarymarterymocclusion)

-mVomitingm

-mDiaphoresism

-mSyncopem

-mDyspnea

-mOrthopneam

-mWheezing



WhatmlabmtestmaremneededmformamMyocardialmInfraction?m-mCORRECTmANSWERSm-mTroponins

-mCK-MB

-mAnmECGmwillmoftenmdemonstratemST-segmentmelevationmormnewmleftmbundle

branchmblock.



HowmdomyoummanagemamMyocardialmInfraction?m-
mCORRECTmANSWERSmPatientsmpresentingmwithmacutemmyocardialminfarctionmwillmneedmreperfusi


onmtherapymormfibrinolyticmtherapy.mTomdecreasemmortalitymrates,mreperfusionmthroughmPCImneeds
mtombemcompletedmwithinm90mminutesmofmpresentationmtomthememergencymroom.




WhatmismAtherosclerosis?m-
mCORRECTmANSWERSmamdiseasemofmthemarteriesmcharacterizedmbymthemdepositionmofmplaquesmofmf


attymmaterialmonmtheirminnermwalls.



WhatmismthempathmofmAtherosclerosis?m-
mCORRECTmANSWERSmAtherosclerosismismanminflammatorymprocessmthatmbeginsmwithmdamagemtom

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