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NSG 320 - Med/Surg - Exam 2 – Perfusion Questions With Complete Solutions

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NSG 320 - Med/Surg - Exam 2 – Perfusion Questions With Complete Solutions

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NSG 320 - Med/Surg - Exam 2 – Perfusion Questions With
Complete Solutions

140, 90, 150, 90, 140, 90 Correct Answers JNC8
Recommendations for BP:

If age < 60, then: <____ / ____

If age ≥ 60, then: < ______/____

If DM or CKD, then: < ______/_____
(regardless of age)

400, 1000, 120, 200, 60, 180, 45, 55, 40, 160, 35, 135 Correct
Answers hyperlipidemia assessment: Normal Values

Total Lipids: ____-______mg/dl

** Cholesterol: ____-____mg/dl

** LDL: ___-_____mg/dl
(optimum < 100; <70 for high risk individuals)

** HDL (protective)
Male > ___ mg/dl
Female > ___ mg/dl

HDL-LDL Ratio 3:1

VLDL 25-50%

,Triglycerides (from sugar consumption)
Male ___-_____mg/dl
Female ___-_____ mg/dl

(C-Reactive protein) < 1.0 mg/dl = acute inflammation mediator
= if see elevated fats and elevated C-reactive = developing
atherosclerosis.

AAA (abdominal aortic aneurysm) Correct Answers
Assessment of _______
1. Pain - steady with gnawing quality, unaffected by movement,
may last for hours/days
2. Pain is in the abdomen, flank or back.
3. Abdominal mass is pulsatile
4. Rupture = the most frequent complication and is life
threatening.

ACS Correct Answers To dx ______:

1. 12 Lead EKG (STEMI or NSTEMI)

2. Troponin T < 0.20 ng/ml --> Rapidly increases in MI

3. Troponin I < 0.03 ng/ml

4. CK-MB 0% of total CK --> increased in MI

ACS/Angina Correct Answers Interventions for
_______________:
MONAR
- Morphine

, - Oxygen
- Nitrate
- Aspirin
(Reperfusion)

Start with 2L O2

Nitro administration should be followed with assessment of
PAIN, BP/HR !!

ASA - should be chewed

Morphine = vasodilator (given last, after 3 nitroglycerins, so as
not to cover up problem before determined)

ACS/Angina (ischemia/injury/infarct) Correct Answers To
Localize & Quantify ___________

Acutely
-- 12 Lead EKG
-- Troponins
-- VS & physical assessment (S/S cardiogenic shock)

Post event - quantify & localize infarct/ischemia
-- Echocardiography - Stress Echo
-- Nuclear imaging

acute arterial disease Correct Answers Anticoagulant therapy
for _______ _______ ________
1. Heparin
Route of Administration: SQ injection

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