Exam 2 NR 545 Questions Complete
Solutions.
Chest Pain AKA Angina Patho ~CORRECT ANSWER~✓✓Patho: Chest
pain associated with decreased blood flow or ischemia to the myocardial
tissue.
Chest pain PA ~CORRECT ANSWER~✓✓Physical Assessment: chest
heaviness
Pressure
Squeezing
Fullness
Pain radiates to left shoulder, arm, or jaw.
Elevation of blood pressure during attack
Chest pain Pharm ~CORRECT ANSWER~✓✓Pharm: Nitroglycerin-
relaxes and widens blood vessels
Dosing: 0.3-0.6mg every 5 minutes for max of 3 doses
Long-term treatment to consider: ACE Inhibitors & Beta-Blockers
Chest pain risks ~CORRECT ANSWER~✓✓Risks and complications:
Acute Coronary Syndrome
,Myocardial Infarction ~CORRECT ANSWER~✓✓blood flow to the heart
is minimized.
Buildup of cholesterol
MI Patho ~CORRECT ANSWER~✓✓imbalance between myocardial
oxygen supply and demand
Prolonged for greater than 30 minutes can lead to cardiac tissue death.
MI PA ~CORRECT ANSWER~✓✓Pain at rest
Not relieved with nitro
Lightheaded
Impending doom
Nausea
Diaphoresis
Wheezing
MI Dx ~CORRECT ANSWER~✓✓Troponins elevated, often stay
elevated for one week after infarction.
EKG- ST elevation or new left bundle branch block
Atherosclerosis ~CORRECT ANSWER~✓✓when blood vessels that
carry oxygen to organs and tissues is restricted.
, Hardening of vessels from buildup of fats, cholesterol in the artery walls
Happens gradually.
Formed plaque can break off and burst, triggering a blood clot.
Atherosclerosis patho ~CORRECT ANSWER~✓✓inflammatory process
that begins with damage to the endothelium often result of HTN,
smoking, high cholesterol, or other risk factors.
Fatty streak to fibrous plaque and then complicated lesion
Atherosclerosis PA ~CORRECT ANSWER~✓✓modifiable risk factors
Fluid retention
Fatigue
Neck vein distension
Edema
Calf pain
Atherosclerosis Dx ~CORRECT ANSWER~✓✓Dx: Stress tests
Chest Xray
EKG
Ankle-Brachial Index to assess blood pressure in the extremities.
Atherosclerosis Pharm ~CORRECT ANSWER~✓✓Pharm: Antiplatelets
(Aspirin)
Solutions.
Chest Pain AKA Angina Patho ~CORRECT ANSWER~✓✓Patho: Chest
pain associated with decreased blood flow or ischemia to the myocardial
tissue.
Chest pain PA ~CORRECT ANSWER~✓✓Physical Assessment: chest
heaviness
Pressure
Squeezing
Fullness
Pain radiates to left shoulder, arm, or jaw.
Elevation of blood pressure during attack
Chest pain Pharm ~CORRECT ANSWER~✓✓Pharm: Nitroglycerin-
relaxes and widens blood vessels
Dosing: 0.3-0.6mg every 5 minutes for max of 3 doses
Long-term treatment to consider: ACE Inhibitors & Beta-Blockers
Chest pain risks ~CORRECT ANSWER~✓✓Risks and complications:
Acute Coronary Syndrome
,Myocardial Infarction ~CORRECT ANSWER~✓✓blood flow to the heart
is minimized.
Buildup of cholesterol
MI Patho ~CORRECT ANSWER~✓✓imbalance between myocardial
oxygen supply and demand
Prolonged for greater than 30 minutes can lead to cardiac tissue death.
MI PA ~CORRECT ANSWER~✓✓Pain at rest
Not relieved with nitro
Lightheaded
Impending doom
Nausea
Diaphoresis
Wheezing
MI Dx ~CORRECT ANSWER~✓✓Troponins elevated, often stay
elevated for one week after infarction.
EKG- ST elevation or new left bundle branch block
Atherosclerosis ~CORRECT ANSWER~✓✓when blood vessels that
carry oxygen to organs and tissues is restricted.
, Hardening of vessels from buildup of fats, cholesterol in the artery walls
Happens gradually.
Formed plaque can break off and burst, triggering a blood clot.
Atherosclerosis patho ~CORRECT ANSWER~✓✓inflammatory process
that begins with damage to the endothelium often result of HTN,
smoking, high cholesterol, or other risk factors.
Fatty streak to fibrous plaque and then complicated lesion
Atherosclerosis PA ~CORRECT ANSWER~✓✓modifiable risk factors
Fluid retention
Fatigue
Neck vein distension
Edema
Calf pain
Atherosclerosis Dx ~CORRECT ANSWER~✓✓Dx: Stress tests
Chest Xray
EKG
Ankle-Brachial Index to assess blood pressure in the extremities.
Atherosclerosis Pharm ~CORRECT ANSWER~✓✓Pharm: Antiplatelets
(Aspirin)
