N4581 - Exam 2 (Complex Needs - Reid) 121
CORRECT Solutions.
N4581 - Exam 2 (Complex Needs - Reid) 121
CORRECT Solutions.
_____ is an amino acid which contributes to atherosclerosis. This is a _______ (modifiable/non-
modifiable) risk for _______. - ANSWER homocysteine
modifiable
coronary artery disease
What are the preferred values for the following;
HDL
LDL
total cholesterol
triglycerides - ANSWER HDL > 50 (Healthy cholesterol)
LDL < 100 (Lousy cholesterol)
total < 200
triglycerides < 150
What diagnostic screening measures ejection fraction?
What is normal EF? - ANSWER ECHO (ultrasound of heart)
normal EF: 50-65%
What diagnostic screening measures tolerance of ADLs? - ANSWER 6-minute walk test
Coronary angiogram aka __________ - ANSWER cardiac catheterization
Cardiac cath aka ________ gives info on (3) - ANSWER aka coronary angiogram
patency of coronary arteries (heart arteries, not other vessels)
,N4581 - Exam 2 (Complex Needs - Reid) 121
CORRECT Solutions.
O2 levels
chamber pressures
*uses contrast so no iodine allergies!
Someone allergic to shellfish cannot have what diagnostic study done? Why? - ANSWER cardiac cath
because uses contrast
Which diagnostic screening requires NPO status? For how long?
What type of sedation is used?
What drugs are expected with this sedation? - ANSWER cardiac cath aka coronary angiogram
6-12 hours prior to px
conscious sedation
versed and fentanyl
What type of sedation is used for cardia cath? - ANSWER conscious sedation
uses versed and fentanyl
Pre-op care for cardiac cath (3) - ANSWER pre-op: assess pulses, color, & sensation of extremities
Post-op care for cardiac cath - ANSWER VS done q15m x4, q30m x2, q1h x2
check extremities: pulses, color, sensation, temp
assess puncture site for bleeding & hematoma
assess breathing
How often are VS checked post cardiac cath? - ANSWER q15m x4
q30m x2
q1h x2
, N4581 - Exam 2 (Complex Needs - Reid) 121
CORRECT Solutions.
What is the most common complication associated with a cardiac cath? - ANSWER bleeding and
hematoma of insertion site
What are the types of angina? Describe each (5) - ANSWER stable: predictable & consistent, increases
with effort, relieved by nitro
unstable: increase in frequency & severity, may not be relieve by nitro
intractable/refractory: severe, debilitating pain
variant: pain at rest with reversed ST caused by vasospasm
silent: evidence of ischemia but no pain
Define chronic stable angina (3 part definition) - ANSWER intermittent pain occurring over long period
with same pattern of onset, duration, & intensity
How long does pain last with chronic stable angina?
Does pain occur at rest? - ANSWER pain lasts ~3-5 minutes
rarely pain at rest
Does infarct occur with chronic stable angina? - ANSWER NO! only transient ischemia
Precipitating factors for stable angina (5) - ANSWER exercise
temperature extremes
heavy meals
smoking
emotional upset (stress)
When should someone with chronic stable angina seek immediate medical help? - ANSWER ∆ in pain
worsening pattern
occurs at rest/sleep
CORRECT Solutions.
N4581 - Exam 2 (Complex Needs - Reid) 121
CORRECT Solutions.
_____ is an amino acid which contributes to atherosclerosis. This is a _______ (modifiable/non-
modifiable) risk for _______. - ANSWER homocysteine
modifiable
coronary artery disease
What are the preferred values for the following;
HDL
LDL
total cholesterol
triglycerides - ANSWER HDL > 50 (Healthy cholesterol)
LDL < 100 (Lousy cholesterol)
total < 200
triglycerides < 150
What diagnostic screening measures ejection fraction?
What is normal EF? - ANSWER ECHO (ultrasound of heart)
normal EF: 50-65%
What diagnostic screening measures tolerance of ADLs? - ANSWER 6-minute walk test
Coronary angiogram aka __________ - ANSWER cardiac catheterization
Cardiac cath aka ________ gives info on (3) - ANSWER aka coronary angiogram
patency of coronary arteries (heart arteries, not other vessels)
,N4581 - Exam 2 (Complex Needs - Reid) 121
CORRECT Solutions.
O2 levels
chamber pressures
*uses contrast so no iodine allergies!
Someone allergic to shellfish cannot have what diagnostic study done? Why? - ANSWER cardiac cath
because uses contrast
Which diagnostic screening requires NPO status? For how long?
What type of sedation is used?
What drugs are expected with this sedation? - ANSWER cardiac cath aka coronary angiogram
6-12 hours prior to px
conscious sedation
versed and fentanyl
What type of sedation is used for cardia cath? - ANSWER conscious sedation
uses versed and fentanyl
Pre-op care for cardiac cath (3) - ANSWER pre-op: assess pulses, color, & sensation of extremities
Post-op care for cardiac cath - ANSWER VS done q15m x4, q30m x2, q1h x2
check extremities: pulses, color, sensation, temp
assess puncture site for bleeding & hematoma
assess breathing
How often are VS checked post cardiac cath? - ANSWER q15m x4
q30m x2
q1h x2
, N4581 - Exam 2 (Complex Needs - Reid) 121
CORRECT Solutions.
What is the most common complication associated with a cardiac cath? - ANSWER bleeding and
hematoma of insertion site
What are the types of angina? Describe each (5) - ANSWER stable: predictable & consistent, increases
with effort, relieved by nitro
unstable: increase in frequency & severity, may not be relieve by nitro
intractable/refractory: severe, debilitating pain
variant: pain at rest with reversed ST caused by vasospasm
silent: evidence of ischemia but no pain
Define chronic stable angina (3 part definition) - ANSWER intermittent pain occurring over long period
with same pattern of onset, duration, & intensity
How long does pain last with chronic stable angina?
Does pain occur at rest? - ANSWER pain lasts ~3-5 minutes
rarely pain at rest
Does infarct occur with chronic stable angina? - ANSWER NO! only transient ischemia
Precipitating factors for stable angina (5) - ANSWER exercise
temperature extremes
heavy meals
smoking
emotional upset (stress)
When should someone with chronic stable angina seek immediate medical help? - ANSWER ∆ in pain
worsening pattern
occurs at rest/sleep
