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NCM 118 LEC PRELIMS > 2_ASSESSMENT OF PATIENT WITH CORONARY ARTERY DISEASE > Flashcards

2_ASSESSMENT OF PATIENT WITH CORONARY ARTERY DISEASE Flashcards

1
Q

This sudden increase in the mortality rate is the target of the DOH campaign: “ Healthy Lifestyle to the Max.”

A
  1. HEART DISEASE
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2
Q

The common causes of both top 1 and top 2 are arterial blockage or arteriosclerosis, smoking (also the most preventable), increased intake of fat and salty foods, and inactivity.

A

DISEASE OF THE VASCULAR SYSTEM

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3
Q

TOP 10 MORTALITY CASES

A
  1. Heart Disease
    2.Disease of Vascular System
  2. Malignant Pneumonia
  3. Accidents
  4. Tuberculosis of all forms
  5. Chronic respiratory Diseases
  6. Diabetes Mellitus
  7. Nephritis, Nephrotic Syndrome
  8. Certain conditions originating from perinatal period
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4
Q

Common illnesses which may require treatment in Intensive Care Unit

A

HEART DISEASE

VASCULAR DISEASE

RENAL DISEASE

*** DM is the aggravating factor
** Pneumonia is the complication

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5
Q

Most Common cause of cardiovascular disability and death.

A

CAD (CORONARY ARTERY DISEASE
)

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6
Q

is a disease wherein a waxy substance builds up in coronary arteries

A

CHD

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7
Q

accumulated plaques are called

A

Atherosclerosis

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8
Q

________ is pain which occurs in these areas of the body when your heart muscles don’t get enough oxygen rich blood

A

Angina

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9
Q

If the flow of oxygen-rich blood
heart muscle is blocked
↓

A

ANGINA (Stable or Unstable)
↓
HEART ATTACK
↓
HEART FAILURE

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10
Q

A client with chest pain and shortness of breathing arrived in the ER. You are about to perform a physical assessment on this patient. Data obtained in the nursing history of relevance to heart disease MUST include?

A. History of broken bones
B. Eating pattern
C. Amount of multivitamins the patient is taking
D. Drowning feeling at night

A

D. Drowning feeling at night

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11
Q

CVA Non-Modifiable Risk Factors
Family history of cardiovascular disease

. If a first-degree blood relative has had coronary heart disease or stroke before the age of ______ (for a male relative) or (for a female relative) risk increases.

55 years (male) and 65 years (female)

A

55 years old (male)
65 years old (Female)

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12
Q

_____ high risk in positive family history patient

A

1.7 times

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13
Q

Ethnic origin - ________ ancestry are at higher risks of developing cardiovascular disease

A

African or Asian

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14
Q

MODIFIABLE RISK FACTORS

A

Stress
Diet
Exercise
Cigarette Smoking
Alcohol
Hypertension
Hyperlipidemia- enhances atherosclerosis
Diabetes Mellitus
Obesity- result to increase cardiac workload
Personality type or behavioral factors
Contraceptive pills

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15
Q

Life Threatening Conditions:

A

● Cardiac problems
● Respiratory
● Kidney
● Neurologic Problem
● Severe electrolyte imbalance
● Endocrine problems
● Organ failure

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16
Q

NON MODIFIABLE RISK FACTORS
( A, G , E , F )

A

Age
Gender
Ethnicity
Family history

17
Q

Modifiable Risk:

Release of norepinephrine

A

Stress

18
Q

Modifiable Risk:

Increased risk in diet with high ______

A

Cholesterol, Sodium and Fats

19
Q

Modifiable Risk:

Recommend Exercise

A

3 times / week
30-40 mins same pattern of exercise

20
Q

Modifiable Risk:
Increased inhalation of C02 than O2

A

Cigarettes smoking

21
Q

Modifiable Risk:
How many ml of alcohol is recommended

A

30ml intake / day

22
Q

Modifiable Risk:

Alcohol is a __________
> 30ml/day leads to _________

A

Vasodilator

Vasoconstriction

23
Q

Bad cholesterol

A

LDL

24
Q

Is an indicator of morbidity and mortality

A

Increased BMI / BMI

25
Q

Personality type of active people

A

Type A

26
Q

is information provided by the patients or their family members or caregivers.

A

Subjective data

27
Q

This is information patients give concerning how they feel, what symptoms they are experiencing, their fears, and concerns.

A

Subjective data

28
Q

give insight into how susceptible a patient is to a health problem and the psychological as well as the physiological condition of the patient

A

Subjective data

29
Q

They also confirm objective data

A

Subjective data

30
Q

“Chief complaint”

A

Subjective data

31
Q

Collecting Subjective Data :
Always begin with a good______

A

NPI

32
Q

SUBJECTIVE DATA - “CHIEF COMPLAINT
How to collect subjective data properly?

A

Always begin with a good NPI
● Listen carefully
● Closely observe for patient no verbal behavior or
gestures
● “Describe the pain feels like”
● “Point the location of pain”
● “radiation of pain”
● Asses for dizziness

33
Q

is an ISCHEMIA

A

ACUTE MYOCARDIAL INFARCTION

34
Q

Death of the heart tissue due to blocked coronary artery

A

Myocardial Infarction

35
Q

AMI is Lack of blood supply due to________ of coronary artery and its branches

A

Occlusion

36
Q

● Most case are due to________ (90%)
● Other causes- spasm, embolism,trauma ( 5%)

A

ATHEROSCLEROSIS

NCM 118 LEC PRELIMS (3 decks)

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