Chapter 18 ACS and causes of cardiac conditions Flashcards

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1
Q

cardiac compromise or (ACS)

A

a blanket term that refers to anytime the heart may not be getting enough oxygen.

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2
Q

acute coronary syndrome (ACS)

A

when a coronary artery can become blocked

a one way valve may stop working
specialized tissue that carries electrical impulses maybe malfunctioning

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3
Q

treatment of most heart condition symptoms are______?

A

treated as if they are having a heart problem

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4
Q

chest pain

A

is the most common symptom of a heart attack

  • crushing
  • squezzing
  • dull
  • heavy
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5
Q

radiation of pressure, pain or discomfort during cardiac distress

A
radiates along arms
down to upper abdomen
up to the jaw
radiation to the left arm more than right
(both is possible)
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6
Q

dyspnea

A

sometimes the only complaint of patients experiencing cardiac compromise.

-sometimes patients can’t think of anything other than the difficulty breathing unless asked about it.

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7
Q

ACS patients are often______?

A

anxious shown through several forms

  • feeling of impending doom
  • irritability
  • short temper
  • nauseous
  • pain or discomfort in upper abdomen
  • loosing consciousness due to lack of blood or oxygenated blood
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8
Q

percentage of patients that do not have typical chest discomfort

A

between 1/4 and 1/3

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9
Q

coronary artery disease

A

a condition that blocks or narrows an artery

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10
Q

CAD

A

is the buildup of fatty deposits on the inner walls of arteries

plaque build up over time hardens the walls of the artery making it stiff and non permeable.

as well as making it more susceptible to forming clotts
creating thrombus and embolisms

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11
Q

thrombus

A

a clot formed of blood and plaque attached to the inner wall of artery or vein

if it keeps growing a thrombus can grow to a blockage

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12
Q

embolism

A

a clot that is brought to an area by the blood flow

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13
Q

occlusion

A

cutting off flow

blockage caused by fatty deposits

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14
Q

risk factors of CAD (changeable by life style and diet)

A
  • hypertension
  • obesity
  • lack of excercise
  • elevated blood levels
  • cholesterol
  • triglycerides and cigarette smoking
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15
Q

risk factors of CAD non changeable

A

heredity

age

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16
Q

conditions related to CAD

A
  • Angina pectoris
  • acute myocardial infarction
  • congestive heart failure
17
Q

aneurysm

A

the dilation or ballooning of a weakened section of the wall of an artery

18
Q

most common sites of aneurysm

A
  • aorta

- brain

19
Q

when a brain aneurism occurs

A

a severe form of stroke occurs

20
Q

electrical malfunction of the heart

A

charged with the order to keep rhythm and order to the hearts firing order.

organized electrical charges make the heart work. when these electrical impulses are out of line dysrhythmia can occur

21
Q

dysrhythmia

A
  • an irregular or absent heart rhythm
  • bradycardia (beats lower than 60 per min)
  • tachycardia (above 100)
  • ventricular fibrillation
  • ventricular tachycardia
  • pulesless electrical activity
  • asystole
22
Q

mechanical malfunctions of the heart

A

often seen with myocardial infarction, or heart attack.

-when mechanical pump failure occurs, the lack of oxygen causes tissue death of an area of the heart.

23
Q

angina pectoris

A

(literally means pain in the chest)
coronary arteries are narrowed
-caused when the heart is deprived of oxygen

24
Q

acute mayocardial infarction (AMI)

A

a condition where a portion of the myocardium (heart muscle) dies from O2 starvation

25
Q

AMI cases per year

A

1 Million + cases of AMI per year
hundreds of thousands of deaths annually

-many of these are sudden deaths ( deaths that occur within 2 hours of symptom onset)

26
Q

fibrinolytics

A

used to bust clots that may be blocking a coronary artery

-must be administered early

27
Q

balloon catheterization

angioplasty

A

a catheter that is inserted into arteries and inflated to let blood pass through a blockage

28
Q

beta blocker

A

slows the heart rate and makes it beat less strongly

29
Q

congestive heart failure (CHF)

A

failure of the heart to pump efficiently, leading to excessive blood or fluids in the lungs, body, or both

-called congestive because fluids congest or clog the organs.

30
Q

signs of CHF

A
  • tachycardia
  • dyspnea
  • normal
  • cyanosis
  • diaphoresis
  • pulmonary edema
  • anxiety
  • pedal edema
  • engorged pulsating neck vein (late sign)
  • enlarged liver and spleen with abdominal distention
31
Q

diuretic

A

a pill (water pill) that helps remove fluid from the circulatory system.