CAD, Angina & MI Flashcards

1
Q

Cardiac Assessment

A
  1. Observations (Nail beds, skin, Color)
  2. Allergies
  3. Health Hx and Personal Hx
  4. Risk factors
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2
Q

What group of people are at higher risk for early death from cardiac disease?

A
  1. Native Americans
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3
Q

What Causes Sudden Cardiac Death?

A

Hypertrophic Cardiac Myopathy

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5
Q

Stable Angina

A
  1. Angina that occurs with exercise and is predictable

2. It is usually promptly relieved by rest or nitroglycerin

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6
Q

Unstable Angina

A
  1. More frequent and more severe form.
  2. Symptoms include chest pain that occurs with minimal exertion
  3. May be indication of a severe obstruction in the coronary artery
  4. Med emergency
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7
Q

Prinzmetal Angina

A
  1. Angina due to spasm of the coronary arteries rather than from exertion or increased demands of the heart.
  2. Pain typically occurs at rest
  3. Usually occurs at the same time
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8
Q

Best Nursing Intervention for CAD

A
  1. Teach Prevention
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9
Q

Stable Angina

-Treatment

A
  1. REST and Nitroglycerin
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10
Q

Prinzmetal Angina

-Treatment

A
  1. Calcium Channel Blockers
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11
Q

What Symptom Is Unusual with Angina?

A
  1. Upper back pain is an atypical symptom of angina
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12
Q

What to Teach PT about Nitroglycerin Use?

A
  1. Pt might experience a tingling sensation
  2. Pt can have increased HR and Headache
  3. Pt can experience dizziness and flushing
    - sit down if these symptoms occur
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13
Q

What is the first drug of choice for a Pt w/ Angina

A
  1. NITRATES TEST
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14
Q

You walk into a room. PT has difficult time Breathing.

-What is the 1st thing you do?

A
  1. Raise the head of the bed
  2. Apply Oxygen
  3. Assess V/S
  4. Call the MD
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15
Q

MI

-Tissue Death

A
  1. If chest pain lasts longer than 25 minutes, tissue death will occur.
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16
Q

MI

-Evaluation of Care

A
  1. Experience relief of pain
  2. Have no progression of MI
  3. Receive immediate and appropriate treatment
  4. Cope effectively with associated anxiety
  5. Cooperate with rehab plans
  6. Modify or alter risk factors
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17
Q

Fibrinolytic

-Time Frame

A
  1. Within the first 6 hours
18
Q
Stent Replacement (Percutaneous Coronary Revascularization)
-Patient Teaching
A
  1. Pt will experience a warm, flushing sensation when the dye is injected into the veins