Critical Care Block 4 – Module 3 Cardiac Exam 2 | Complete Questions & Verified Answers

Critical Care Block 4 – Module 3 Cardiac
Exam 2 | Complete Questions & Verified
Answers

Identify acute coronary syndrome, MI, acute decompensated HF, selected
dysrhythmias, nursing management and appropriate treatment.
○ Acute coronary syndrome: ischemia is prolonged and not reversed
■ Nursing Management:
● Monitor vitals
● Cardiac enzyme labs
● Urinary output and daily weights
● Listen to the lungs
● ACE inhibs to reduce BP
● Antiplatelets
■ Treatment:
○ MI: occurs due to sustained ischemia causing irreversible cell damage
(necrosis)
■ Coronary arteries are narrowed by plaque (atherosclerosis) →
angina → is plaque ruptures and thrombus forms → occlusion = MI
■ S/S:
● Chest pain
● Jaw pain, left arm pain
● Heartburn, abdominal pain
● SOB, dyspnea
● NV, diaphoresis, pallor
■ Diagnoses:
● Patient Hx
● Electrolytes
● ABG
● EKG
○ ST elevation: = blockage = ischemia
○ ST depression = partial blockage
● Troponin
■ Treatment:
● Morphine
● Oxygen
● Nitro- vasodilator
● Aspirin- blood thinner
● Beta blockers
■ Complications

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, ● Cardiogenic Shock: low BP, agitation, pale, low U/O
○ Tx: increase BP with epi, norepi or dopamine
● Dysrhythmias: Vtach and Vfib
○ No pulse = defib




This study source was downloaded by 100000895528565 from nursinghero.com on 11-02-2025 01:10:00 GMT -06:00


https://www.nursinghero.com//study-files/24708946