WKU Med Surg 2 Exam 2 Care of Pts with Acute Coronary Syndromes Questions With correct Answers

WKU Med Surg 2 Exam 2 Care of Pts with Acute
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Coronary Syndromes Questions With correct Answers
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what //are //the //different //arteries //in //the //heart //- //CORRECT //ANSWERS(S)✔✔- //aorta

- //right //coronary //artery //(runs //from //right //atria //to //right //ventricle) //and //right //marginal
//branch //(on //right //ventricle)



- //left //main //coronary //artery: //runs //under //pulmonary //artery

- //left //circumflex //branch: //branch //behind //the //pulmonary //vessels

- //left //descending //branch: //on //left //ventricle //and //is //the //most //lethal //spot //for //an //occlusion
//to //form




what //is //collateral //circulation //- //CORRECT //ANSWERS(S)✔✔where //if //there //is //an //occlusion
//in //the //heart, //it //compensates //by //producing //and //growing //more //blood //vessels //to //bypass


//the //occlusion //and //still //maintain //proper //blood //flow




if //someone //presents //with //chest //pain, //what //other //assessment //questions //should //be //asked
- CORRECT //ANSWERS(S)✔✔- //sternal //area //(tightness, //heaviness, //pressure)?
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- //radiating //to //arm, //neck, //jaw, //shoulder, //back?

- //presence //of //n/v, //diaphoresis, //dyspnea, //anxiety, //fatigue, //palpitations, //dizzy, //AMS?



what //are //the //signs //of //heart //attack //in //women //- //CORRECT //ANSWERS(S)✔✔- //indigestion

- //choking //sensation //(esp //with //exertion)

- //unusual //fatigue

- //SOA

- //anxiety

,what //are //the //signs //of //heart //attack //in //older //adults //- //CORRECT //ANSWERS(S)✔✔- //SOB

- //may //have //no //pain

- //acute //onset //ALOC

- //n/v



what //are //the //signs //of //heart //attack //in //diabetics //- //CORRECT //ANSWERS(S)✔✔c/o //of
//everything //but //pain




what //are //some //other //assessments //that //need //to //be //gathered //when //examining //someone
for //acute //coronary //syndrome //- //CORRECT //ANSWERS(S)✔✔- //hx //of //CAD
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- //sex/ //gender: //male //and //female //s/s //differ

- //age: //more //prevalent //in //>55 //yo



what //are //the //risk //factors //for //coronary //syndrome //- //CORRECT //ANSWERS(S)✔✔- //diabetes

- //diet

- //sedentary

- //diseases

- //hypertension

- //obesity

- //smoking //(causes //constriction //and //breakdown //of //vessels)



what //is //a //part //of //the //physical //examination //of //someone //when //examining //for //coronary
syndromes //- //CORRECT //ANSWERS(S)✔✔- //assess //VS //and //rhythms
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- //assess //for //JVD, //pulmonary //congestion, //murmurs, //or //gallops

- //s/s //of //poor //CO //or //cardiogenic //shock

- //neurologic //status

, - //psychosocial //state



what //are //the //s/s //of //poor //CO //or //cardiogenic //shock //- //CORRECT //ANSWERS(S)✔✔-
//hypotension



- //hypoperfusion

- //pallor

- //diaphoretic

- //ashen //color

- //diminished/ //absent //pulses



when //examining //someone //for //coronary //syndromes, //what //contraindications //should //be
//identified //- //CORRECT //ANSWERS(S)✔✔if //the //pt //cannot //have //antiplatelet //or //fibrinolytic
//therapies




if //you //suspect //someone //is //having //myocardial //injury, //what //labs //should //be //drawn //-
CORRECT //ANSWERS(S)✔✔troponin //T //(<0.1) //or //troponin //I //(<0.03)
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what //is //troponin //- //CORRECT //ANSWERS(S)✔✔sensitive //serum //biomarkers //of //myocardial
//injury/ //cardiac //cell //necrosis




how //often //should //you //draw //troponin //to //rule //out //MI //- //CORRECT //ANSWERS(S)✔✔q6hrs
//up //to //3x




if //someone //is //having //myocardial //injury, //when //do //serum //troponin //levels //rise //- //CORRECT
ANSWERS(S)✔✔within //2-24 //hrs
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if //someone //is //having //myocardial //injury, //how //long //can //serum //troponin //levels //stay
elevated //- //CORRECT //ANSWERS(S)✔✔14 //days //post //injury
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