MDC III - final exam || A+ Graded Already.
What is acute coronary syndrome? correct answers sudden reduced blood flow to the heart
acute coronary syndrome risk factors correct answers -Atherosclerosis-Age-Genetics-Smoking-
High-fat diet-Elevated cholesterol-Sedentary lifestyle-Obesity-Hypertension-Diabetes-Women-
Elevated Troponin-ST elevation on 2 contiguous leads to ECG
acute coronary syndrome s/s correct answers Chest pain
SOB
Diaphoresis
Nausea
Dizziness
Epigastric pain
acute coronary syndrome tx (MONA) correct answers Morphine (Only if ordered)Oxygen (If
needed)Nitro (R/o ED med)Aspirin (Chew) 162 or 325Mg
Cardiac catheterization
what is angina correct answers chest pain
what is STEMI correct answers ST elevation myocardial infarction
what is NSTEMI correct answers non-ST elevation myocardial infarction
what is anemia correct answers Reduction in one or more of the following: erythrocytes,
hemoglobin, hematocrit
anemia s/s correct answers -Fatigue/ Weakness/dizzy-Pale or yellowish skin (jaundice)-Irregular
heartbeats (arrhythmias)- Chest pain- Cold hands and feet-Headache- SOB
anemia diet changes 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)
what is aortic dissection correct answers Separation of the muscular wall from the membrane of
the artery, putting the pt at risk of aortic rupture and death
aortic dissection priority tx/actions 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
, aortic dissection tx & nursing care correct answers -Medications such as beta blockers,
antihypertensive, analgesics, blood products-Aneurysmectomy-Endovascular stent grafts-
Abdominal aortic repair
what is atherosclerosis correct answers hardening of the arteries
atherosclerosis risk factors correct answers - Blood Vessel damage (ex hypertension)-Genetics
★ Hyperlipidemia (High LDL, Low HDL, High triglycerides)-Diabetes-Obesity- Smoking-Age
atherosclerosis diet and discharge education correct answers -Emphasize intake of vegetables,
fruits & whole grains (same as DASH)-Low-fat dairy products, poultry, fish, legumes, non
tropical vegetable oils & nuts (same as DASH)-Limit sweets, sugar-sweetened beverages, & red
meat (same as DASH)-Aim for dietary pattern than includes 5-6% from saturated fat (instead of
focus on decreasing sodium levels)-Reduce percent of calories from trans fat (instead of exercise
recommendation)
-Focus on Diet and managment of HDL and LDL
what is asystole correct answers Absence of a heart rate.
asystole priority action correct answers Compressions and CPR
what is atrial fibrillation correct answers Irregular, rapid heart beat
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
atrial fibrillation tx correct answers •Calcium channel blockers (diltiazem)•Amiodarone or
dronedarone (contraindicated in HF)•Beta blockers - metoprolol, esmolol•Digoxin (useful in HR
& AF)•Specialized meds: flecainide (Tambocor), dofetilide (Tikosyn), propafenone (Rythmol, &
ibutilide (Corvert)-CONTROL THE RATE AND RHYTHM-Anticoagulation therapy-Electrical
cardioversion
-Electrical Cardioversion
-Left atrial appendage closure
-Radio frequency catheter ablation
Biventricular catheter pacing
-Surgical maze procedure performed with CABG
graft vs host disease correct answers -Donated marrow immunocompromised cells attack the
recipient's cells, tissues, & organs-Usually affected: skin, eyes, GI tract, liver, genitalia, lungs,
immune system, musculoskeletal system
blood transfusion pt monitoring/starting infusion correct answers Monitor for the first 15 minutes
Watch for SOB and chest pain
What is acute coronary syndrome? correct answers sudden reduced blood flow to the heart
acute coronary syndrome risk factors correct answers -Atherosclerosis-Age-Genetics-Smoking-
High-fat diet-Elevated cholesterol-Sedentary lifestyle-Obesity-Hypertension-Diabetes-Women-
Elevated Troponin-ST elevation on 2 contiguous leads to ECG
acute coronary syndrome s/s correct answers Chest pain
SOB
Diaphoresis
Nausea
Dizziness
Epigastric pain
acute coronary syndrome tx (MONA) correct answers Morphine (Only if ordered)Oxygen (If
needed)Nitro (R/o ED med)Aspirin (Chew) 162 or 325Mg
Cardiac catheterization
what is angina correct answers chest pain
what is STEMI correct answers ST elevation myocardial infarction
what is NSTEMI correct answers non-ST elevation myocardial infarction
what is anemia correct answers Reduction in one or more of the following: erythrocytes,
hemoglobin, hematocrit
anemia s/s correct answers -Fatigue/ Weakness/dizzy-Pale or yellowish skin (jaundice)-Irregular
heartbeats (arrhythmias)- Chest pain- Cold hands and feet-Headache- SOB
anemia diet changes 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)
what is aortic dissection correct answers Separation of the muscular wall from the membrane of
the artery, putting the pt at risk of aortic rupture and death
aortic dissection priority tx/actions 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
, aortic dissection tx & nursing care correct answers -Medications such as beta blockers,
antihypertensive, analgesics, blood products-Aneurysmectomy-Endovascular stent grafts-
Abdominal aortic repair
what is atherosclerosis correct answers hardening of the arteries
atherosclerosis risk factors correct answers - Blood Vessel damage (ex hypertension)-Genetics
★ Hyperlipidemia (High LDL, Low HDL, High triglycerides)-Diabetes-Obesity- Smoking-Age
atherosclerosis diet and discharge education correct answers -Emphasize intake of vegetables,
fruits & whole grains (same as DASH)-Low-fat dairy products, poultry, fish, legumes, non
tropical vegetable oils & nuts (same as DASH)-Limit sweets, sugar-sweetened beverages, & red
meat (same as DASH)-Aim for dietary pattern than includes 5-6% from saturated fat (instead of
focus on decreasing sodium levels)-Reduce percent of calories from trans fat (instead of exercise
recommendation)
-Focus on Diet and managment of HDL and LDL
what is asystole correct answers Absence of a heart rate.
asystole priority action correct answers Compressions and CPR
what is atrial fibrillation correct answers Irregular, rapid heart beat
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
atrial fibrillation tx correct answers •Calcium channel blockers (diltiazem)•Amiodarone or
dronedarone (contraindicated in HF)•Beta blockers - metoprolol, esmolol•Digoxin (useful in HR
& AF)•Specialized meds: flecainide (Tambocor), dofetilide (Tikosyn), propafenone (Rythmol, &
ibutilide (Corvert)-CONTROL THE RATE AND RHYTHM-Anticoagulation therapy-Electrical
cardioversion
-Electrical Cardioversion
-Left atrial appendage closure
-Radio frequency catheter ablation
Biventricular catheter pacing
-Surgical maze procedure performed with CABG
graft vs host disease correct answers -Donated marrow immunocompromised cells attack the
recipient's cells, tissues, & organs-Usually affected: skin, eyes, GI tract, liver, genitalia, lungs,
immune system, musculoskeletal system
blood transfusion pt monitoring/starting infusion correct answers Monitor for the first 15 minutes
Watch for SOB and chest pain
