MDC 3 FINAL EXAM || with A+ Guaranteed Solutions.
what are risk factors for Acute coronary syndrome (MI) correct answers -Artherosclerosis
-Woman present differently
-Age/ Genetics
-Smoking
-Elevated Troponin
-ST-elevation on 2 contiguous leads on ECG
S/S of Acute coronary syndrome classic correct answers -Chest pain
-SOB
-Diaphoresis
S/S Acute coronary syndrome classic Atypical correct answers Nausea
Dizziness
Epigastric pain
Angina treatment correct answers -Rest
-Nitro
-Emergency care if not relieved
Treatment for Acute coronary syndrome correct answers Morphine (Only if ordered)
Oxygen (If needed)
Nitro (R/o ED med)
Aspirin (Chew) 162 or 325Mg
-Cardiac catheterization
-CABG
Why do you not give a thrombolytic to an Acute coronary syndrome patient? correct answers -
Intracranial pathology
-Active bleeding
S/S for Anemia Skin changes correct answers -Pale / Yellow skin
-Cool skin
S/S of anemia Cardiovascular compromise correct answers -Tachycardia
-Hypotension
S/S of anemia Respiratory correct answers SOB
S/S of anemia Neurological correct answers -Fatigue
-Weakness
Diet changes for Anemia patients correct answers -Iron rich deficiency
, (leafy greens, Fe supplements: take with orange juice, black/tarry stools)(avoid taking with milk
blocks absorption)
-B12 deficiency
(beef, chicken, salmon, fortified breakfast cereal, low fat milk, eggs)
-Folate deficiency
(broccoli, brussels sprouts, leafy green vegetables, kidney beans)
Priority treatment and action for a Aortic dissection correct answers -Control BP, aim for a
systolic 100-200Hg
-Establish 2 large bore IV's and start fluids as ordered rate, as well as other necessary meds
-Prepare for surgery
Treatment & nursing care for Aortic dissection correct answers -Medications such as beta
blockers, antihypertensive, analgesics, blood products
-Aneurysmectomy
-Endovascular stent grafts
-Abdominal aortic repair
Risk factors for Atherosclerosis correct answers -Age
-Genetics/ Ethnicity
-Hyperlipidemia (High LDL & Low HDL)
-DM
-Obesity, Sedentary life, Smoking
Diets for Atherosclerosis patients correct answers Dash diet
Vegetables, Fruit, Whole grain, Low fat free diary, Fish, poulty, bean, nuts, vegetable oils,
Limit foods high in sugar, high in saturated fat like fat meats
Discharge education for Atherosclerosis patients correct answers -Focus on Diet and managment
of HDL and LDL
Asystole priority action correct answers Compressions
Atrial fibrillation complications correct answers •Can impair QoL
•Linked to major morbidity and mortality - especially clotting concerns - embolic stroke, DVT,
or PE
•Disorganized atrial impulses create 'quivers' to atria
•There is no atrial kick
•Ventricular contracts are irregularly usually at a rate of 120-200
•This irregularity increases cardiac blood pooling, increasing risk of clot formation
Treatment for Atrial fibrillation correct answers -CONTROL RATE AND RHYTHM
Use: Calcium channel blockers, Amiodarone, Beta-blockers, Digoxin, Special Medications
-Anticoagulation
-Electrical cardioversion
-Ablation
what are risk factors for Acute coronary syndrome (MI) correct answers -Artherosclerosis
-Woman present differently
-Age/ Genetics
-Smoking
-Elevated Troponin
-ST-elevation on 2 contiguous leads on ECG
S/S of Acute coronary syndrome classic correct answers -Chest pain
-SOB
-Diaphoresis
S/S Acute coronary syndrome classic Atypical correct answers Nausea
Dizziness
Epigastric pain
Angina treatment correct answers -Rest
-Nitro
-Emergency care if not relieved
Treatment for Acute coronary syndrome correct answers Morphine (Only if ordered)
Oxygen (If needed)
Nitro (R/o ED med)
Aspirin (Chew) 162 or 325Mg
-Cardiac catheterization
-CABG
Why do you not give a thrombolytic to an Acute coronary syndrome patient? correct answers -
Intracranial pathology
-Active bleeding
S/S for Anemia Skin changes correct answers -Pale / Yellow skin
-Cool skin
S/S of anemia Cardiovascular compromise correct answers -Tachycardia
-Hypotension
S/S of anemia Respiratory correct answers SOB
S/S of anemia Neurological correct answers -Fatigue
-Weakness
Diet changes for Anemia patients correct answers -Iron rich deficiency
, (leafy greens, Fe supplements: take with orange juice, black/tarry stools)(avoid taking with milk
blocks absorption)
-B12 deficiency
(beef, chicken, salmon, fortified breakfast cereal, low fat milk, eggs)
-Folate deficiency
(broccoli, brussels sprouts, leafy green vegetables, kidney beans)
Priority treatment and action for a Aortic dissection correct answers -Control BP, aim for a
systolic 100-200Hg
-Establish 2 large bore IV's and start fluids as ordered rate, as well as other necessary meds
-Prepare for surgery
Treatment & nursing care for Aortic dissection correct answers -Medications such as beta
blockers, antihypertensive, analgesics, blood products
-Aneurysmectomy
-Endovascular stent grafts
-Abdominal aortic repair
Risk factors for Atherosclerosis correct answers -Age
-Genetics/ Ethnicity
-Hyperlipidemia (High LDL & Low HDL)
-DM
-Obesity, Sedentary life, Smoking
Diets for Atherosclerosis patients correct answers Dash diet
Vegetables, Fruit, Whole grain, Low fat free diary, Fish, poulty, bean, nuts, vegetable oils,
Limit foods high in sugar, high in saturated fat like fat meats
Discharge education for Atherosclerosis patients correct answers -Focus on Diet and managment
of HDL and LDL
Asystole priority action correct answers Compressions
Atrial fibrillation complications correct answers •Can impair QoL
•Linked to major morbidity and mortality - especially clotting concerns - embolic stroke, DVT,
or PE
•Disorganized atrial impulses create 'quivers' to atria
•There is no atrial kick
•Ventricular contracts are irregularly usually at a rate of 120-200
•This irregularity increases cardiac blood pooling, increasing risk of clot formation
Treatment for Atrial fibrillation correct answers -CONTROL RATE AND RHYTHM
Use: Calcium channel blockers, Amiodarone, Beta-blockers, Digoxin, Special Medications
-Anticoagulation
-Electrical cardioversion
-Ablation
