NUR 128 WCC MED-SURG EXAM 2 PERFUSION
STUDY GUIDE 2026/2027
Aspirin Action - Correct answer✅✅ Antiplatelet aggregate
Beta Blockers Action - Correct answer✅✅ slow heart rate and lower BP, thereby decreasing the
oxygen demand on the heart
Statins Action - Correct answer✅✅ Lowers cholesterol by removing LDL from the blood
Nitrates Action - Correct answer✅✅ Dilates smooth mouscles of arteries and veins. Preload is
reduced. Heart works less.
Calcium Cannel Blockers Action - Correct answer✅✅ Reduce BP and heart rate
Analgesics action - Correct answer✅✅ Relieve pain. Can be used in client with acute myocardial
infarction
Fibrinolytics Action - Correct answer✅✅ Dissolves or breaks up clots
Peramaters for HTN, HTN1, HTN2 - Correct answer✅✅ HTN is >140 systolic >90 diastolic on 3
occassions.
HTN1 = 140-159/90-99
HTN2= >160/ >100
Modifiable risk factors for CAD - Correct answer✅✅ Smoking, HTN, DM2, obesity, diet, activity level,
hyperlipidemia,stress *Quitting smoking reduces risk by 50%*
, Non-modifiable risk factors for CAD - Correct answer✅✅ age, gender (Males highest. also females
after menopause), ethnicity (AA highest), family history, genetics
Acute Myocardial Infarction (AMI) define - Correct answer✅✅ A heart attack; death of heart muscle
following complete obstruction of blood flow to it.
Symptoms of a heart attack - Correct answer✅✅ sudden and crushing chest pain, anxiety, weakness,
sweating, cardiac dysrhythmias, drop in blood pressure. pulmpnary edema,rapid HR,dizzy
Female symptoms of heart attack - Correct answer✅✅ atypical pain,N/V, feeling "funny", jaw or neck
pain, hyper/hypo tension,left ventricular failure
Diabetic s/sx of MI - Correct answer✅✅ Realize that they may have reduced pain sensation.
WEAKNESS.
s/sx of hypertension - Correct answer✅✅ Headache, dizziness, nausea,nosebleeds, fatigue, confusion,
sensory deficits
Which groups are most at risk for htn - Correct answer✅✅ Males/ African AMericans
ACS (acute coronary syndrome) define - Correct answer✅✅ group of conditions caused by decreased
blood flow through the coronary arteries (STEMI, NSTEMI, unstable angina)
heart sounds - Correct answer✅✅ Lub-dub. S1- a-v valves close.
S2 aortic and pulmonary valves close. S3 Ventricular Gallop S4 Arterial Gallop
STEMI - Correct answer✅✅ ST-segment elevation seen in myocardial infarction. indicates complete
blockage of coronary artery. More dangerous than non-stemi
Non-STEMI - Correct answer✅✅ A myocardial infraction in which there is no ST-segment elevation.
PARTIAL blockage of coronary artery
STUDY GUIDE 2026/2027
Aspirin Action - Correct answer✅✅ Antiplatelet aggregate
Beta Blockers Action - Correct answer✅✅ slow heart rate and lower BP, thereby decreasing the
oxygen demand on the heart
Statins Action - Correct answer✅✅ Lowers cholesterol by removing LDL from the blood
Nitrates Action - Correct answer✅✅ Dilates smooth mouscles of arteries and veins. Preload is
reduced. Heart works less.
Calcium Cannel Blockers Action - Correct answer✅✅ Reduce BP and heart rate
Analgesics action - Correct answer✅✅ Relieve pain. Can be used in client with acute myocardial
infarction
Fibrinolytics Action - Correct answer✅✅ Dissolves or breaks up clots
Peramaters for HTN, HTN1, HTN2 - Correct answer✅✅ HTN is >140 systolic >90 diastolic on 3
occassions.
HTN1 = 140-159/90-99
HTN2= >160/ >100
Modifiable risk factors for CAD - Correct answer✅✅ Smoking, HTN, DM2, obesity, diet, activity level,
hyperlipidemia,stress *Quitting smoking reduces risk by 50%*
, Non-modifiable risk factors for CAD - Correct answer✅✅ age, gender (Males highest. also females
after menopause), ethnicity (AA highest), family history, genetics
Acute Myocardial Infarction (AMI) define - Correct answer✅✅ A heart attack; death of heart muscle
following complete obstruction of blood flow to it.
Symptoms of a heart attack - Correct answer✅✅ sudden and crushing chest pain, anxiety, weakness,
sweating, cardiac dysrhythmias, drop in blood pressure. pulmpnary edema,rapid HR,dizzy
Female symptoms of heart attack - Correct answer✅✅ atypical pain,N/V, feeling "funny", jaw or neck
pain, hyper/hypo tension,left ventricular failure
Diabetic s/sx of MI - Correct answer✅✅ Realize that they may have reduced pain sensation.
WEAKNESS.
s/sx of hypertension - Correct answer✅✅ Headache, dizziness, nausea,nosebleeds, fatigue, confusion,
sensory deficits
Which groups are most at risk for htn - Correct answer✅✅ Males/ African AMericans
ACS (acute coronary syndrome) define - Correct answer✅✅ group of conditions caused by decreased
blood flow through the coronary arteries (STEMI, NSTEMI, unstable angina)
heart sounds - Correct answer✅✅ Lub-dub. S1- a-v valves close.
S2 aortic and pulmonary valves close. S3 Ventricular Gallop S4 Arterial Gallop
STEMI - Correct answer✅✅ ST-segment elevation seen in myocardial infarction. indicates complete
blockage of coronary artery. More dangerous than non-stemi
Non-STEMI - Correct answer✅✅ A myocardial infraction in which there is no ST-segment elevation.
PARTIAL blockage of coronary artery
