All Answers and Illustrations
Given
What is included on the assessment of CV disease - ANSWER
✔✔Do pt. understand what chest pain is?
Subjective:
Medications
nutrition
activity
,weight inc. or dec.
Sleep patterns
coping patterns
objective:
baseline VS
Skin
Chest pain assessment? - ANSWER ✔✔COPDSPA
S&S of CVD - ANSWER ✔✔angina
sweating
SOB
cold clammy skin
Palps
Fatigue
Dizzy
peripheral edema
Blood tests for Diagnosing CVD - ANSWER ✔✔Troponin
,CK
CKMB
Myoglobin
Which lab is best for diagnosing MI? - ANSWER ✔✔Troponin
in real life, the real life nurses said they don't use CKMB
What is troponin - ANSWER ✔✔Goes up with damage.
myocardial protein that determines if and how much damage to heart.
detected after 2 hours
can be elevated for 2 weeks
Draw immediately and 6 hours after chest pain
What is a normal Troponin - ANSWER ✔✔<.01
what is CK - ANSWER ✔✔(creatine Kinase)
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, enzyme found in all
muscle.
up with damage
What is a normal CK value - ANSWER ✔✔22-198U/L
What is CKMB - ANSWER ✔✔isoenzyme found in muscle mostly
heart and determines injury to heart and muscle cells
Indicator for acute MI detected in 4 and peaks in 24 hours
goes up with damage
What is a normal CKMB value - ANSWER ✔✔5-25Iu/L
What is myoglobin - ANSWER ✔✔a heme protein that helps transport
oxygen
An oxygen storing protein that determines injury to muscle and heart
cells