AACN PCCN Review: Acute Coronary Syndrome Exam Study Guide Solutions

AACN PCCN Review: Acute Coronary Syndrome Exam Study Guide Solutions Acute Coronary Syndrome Includes - Ans:-MI Unstable Angina Angina - Ans:-Myocardial Anoxia - decreased 02 through coronary arteries Exertional Angina - Ans:-Four "E's" Exercise Emotional States After Eating Extreme Temperature Higher rates of MI during thanksgiving night, and first day of snow, etc. Prinzmetal's Angina or Variant Angina - Ans:-Pain that occurs possibly from Coronary Vasospasm during Rest. ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER 2024 Page 2/20 Stable Angina - Ans:-Pain that is relieved with Rest or Nitro Unstable Angina - Ans:-a. Has a recent onset (within 2 months) and severely limits activity b. Newly occurs at rest c. Differs in characters or symptoms from the person's 'typical exertional angina' (it occurs with less exertion, has a greater intensity or longer duration, requires more interventions before obtaining relief) Non Ischemic Cardiac Causes of Chest Pain: - Ans:-a. Acute Pericarditis b. Cardiac Tamponade c. Acute Myocarditis d. Aortic Stenosis e. Myocardial Contusion f. Mitral Valve Prolapse g. Cardiomyopathies Non Ischemic Non Cardiac Causes of Chest Pain - Ans:-a. Panic Attack/Anxiety b. Illicit Drug Use ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER 2024 Page 3/20 c. Gastrointestinal Disorders d. Spontaneous Pneumothorax e. Pulmonary Embolism f. Pulmonary Hypertension g. Esophageal Rupture h. Costochondritis i. Hypovolemia Unstable Angina Pathophysiology - Ans:-Partially occluding thrombus If its unstable: We need to assess where they are on the timetable: Ischemia-->Injury -->Infarction Anti-platelet Therapies - Ans:-Aspirin P2Y Platelet Inhibitors: Plavix, Ticagrilor, Effient Glycoprotein IIb Inhibitors ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER 2024 Page 4/20 Unstable Angina Assessment - Ans:-a. Assessment of Angina: PQRST Assessment P: Pain, Placement, Provocation Q: Quality, Quantity R: Radiation, Relief S: Severity, Systems (nausea, sweaty, dizziness) T: Timing (when it started, how long did it last) b. Medical History c. Medications: Prescription, Over the Counter, Dietary Supplements d. Social History e. Family History f. Major Risk Factors of Atherosclerosis EKG Assessment - Ans:-a. Ischemia: ST Segment Depression b. Injury: ST Segment Elevation c. Infarction: Q waves d. Brugada Syndrome: Rare genetic cardiac rhythm disease. Intermittent ST segment eleva