ACS, Aneurysm & Dissection, CPR

Question 1

may occur in the ascending portion of the aorta where it rises off the l ventricle

more common and more deadly

Answer 1

ascending dissection

Question 2

may occur in the descending portion of the aorta as it travels down the chest and abdomen

less common and less deadly

Answer 2

descending dissection

Question 3

tear in the intimal layer of the aorta, which exposes the degenerated medial layer to the forces of blood pressure

these forces cleave or dissect the two layers often arterial wall

Answer 3

dissection

Question 4

altered LOC, stroke symptoms, cardiac tamponade, acute MI, acute aortic insufficiency (dyspnea, l ventricular failure, systolic murmur)

Answer 4

symptoms of ascending dissection

Question 5

anuria and renal failure, paraplegia, loss of distal pulses

Answer 5

symptoms of descending dissection

Question 6

acute onset of severe “tearing” or “ripping” chest pain that may radiate to back, flank, shoulders, not relieved by analgesia

difference of more than 20 when comparing BP in both arms

Answer 6

symptoms of both ascending and descending dissections

Question 7

v1-v4 (septal infarction causes changes in v1 and v2)

complication is l ventricular failure

Answer 7

LAD artery (anterior wall MI)

Question 8

I, AVL, V5 & 6, complication is cardiogenic shock

Answer 8

circumflex artery (lateral wall MI)

Question 9

II, III, avF, complication is varying degrees of HB

Answer 9

r marginal artery (inferior wall MI)

Question 10

tall R waves in V1 and V2, complication is r ventricular failure

Answer 10

posterior descending artery (posterior wall MI)

Question 11

n/v, JVD, bradycardia, hypotension

Answer 11

signs of r sided MI

Question 12

diaphoresis, dyspnea/orthopnea, tachycardia, HTN

Answer 12

signs of l sided MI