Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

110_Cardiac > Chapter#37_Disorders of the Aorta > Flashcards

Chapter#37_Disorders of the Aorta Flashcards

1
Q

Aneursym is found

A

Accidently

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Slide#19
Common Manifestation of Aneursym

A

Pain

Interscapular Pain

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

In aneurysm

A

Inner lining of the artery is destroyed in aneuyrsm. Tear in the inner lining of arterial wall

Only be found accidently:
Brain aneurysm
Thoracic Aneurysm
Abdomen aneurysm

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

3 types of aneurysm

A

Aortic Dissection
Thoracic
Abdominal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

In aneurysm

A

Weakening of the atrial wall

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Risk Factors for aneuyrsm

A

Women
Increase in Age

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Slide#3 Atheroscleorosis
Hardening of arteries

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Slide#10 Big risk factor for atherosclerosis

A

the plaque dries up and breaks up

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Risk factors for atheroscleorosis
Risk factors slide#11 and slide#12

A

CAD
PAD
HP
Hyperlipedemia
Inflammatory and infections?

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Risk factors slide#11 and slide#12

A

Modifiable risk factors are Tobacco and Obesity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Slide#15
True or False Aneurysm

A

A. Fusiform anf Sacculated are true aneursym

B. part is false shows aortic disection = walls leaks.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

«Test Qn»
In TIA (transient ischemic attack)

A

You will feel:
Coughing
Obstructing Swallowing
Dysphagia «Test»

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Slide#21
TIA

A

Suppress on superior vena cava
Edema of Face and Arms Problem with flow

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

In Aneusrym

A

Audible pulse or brui detected in brui = Brui Heard

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Slide #22
s/s Aneuyrsm

A

Epigatric Pain
Altered Bowel Elimination
Intermittent Claudication

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

AAA Hx what is prohibited

A

Palpitations is prohibited
Listen to Brui
Abdomen X-Ray/ CT-scan
Never ascultate over top of abdomen

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Slide #24
Rupture into retroperitoneal space

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Qn. How do you know with aneurysm pt. is bleeding?

A

Grey Turners sign
BP drops
Tachycardia
RR increases
Absent pedal pulses when rupture as there is no circulation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Aneurysm rupture

A

Action to be taken: Fluid + Blood Transfusion immediately

Cold and Clammy
Absent pedal pulse = Take BP

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Slide#26
with aneursym, pedal pulses not felt, BP is very important
Diagnostic: Chest X-ray

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Chest Pain actions

A

If not MI, then AA making chest pain

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Slide#26 #27
Monitor aneurysm size

A

6 cm or more is serious

23
Q

CT scan for aneursym where is it anterior or posterior

A
24
Q

Slide#28
Thrombosis

A
25
Q

Slide#30
Goal of aneursym

A

Prevent neurysm from rupturing

26
Q

Post-op aneuyrsm

A

Monitor for bleeding
Blood clot
SCD

27
Q

Slide#33
Op aneurysm: Doctor determines
any kind of comorbidities that will influence pt. surgical risk

A

Lung,
Heart,
Kidney
Genetic Disorder: Marfan Syndrome = Operate immediately

28
Q

Note:

A

90% Mortality with AAA rupture

29
Q

Slide#35
Pre-op aneurysm

A

NPO
Pt. wakes up will have tubes coming out from everywhere

8 hours to do surgery
Electrolytes K, Na shoudl be goof

Type and cross blood match = it is an arterial operation

PT/ PTT/ aPTT everything should be good.

30
Q

Slide# 50
Potentially lehtal complication in emergency repair

A

IAH + ACS
Compartment means closed = swollen after surgery

Compartment syndrome:
Reduces blood flow to viscera
Eng-organ perfusion impaired

31
Q

IAH Treatment

A

Open surgical compression
Percutaneous drainage
Position dorsal = Intraabdominal decompression = lots of fluid needed

32
Q

Indications of Sneuyrsm rupture

A

Pale/ Diaphoresis/ Weakness/Tachy/ Hypotension

33
Q

Slide#56
Indications fo ruptured AAA

A

Pain in abdomen, back, groin, priumblical pain

Assess: Take Vital Sign = BP + Tachycardia

34
Q

Slide#63
Post-op care

A

CVP (Central Venous Pressure)
Arterial line monitoring for accurate BP

  • Give pain med for pt. control BP
  • Check urine o/p
  • Accurate urinary o/p > since its abdominal

Replace fluid for low urine o/p

35
Q

Slide#68
Avoid injection for septic shock
Administer antibiotics
Not high = not going for sepsis monitor WBC

A
36
Q

Slide#73
Renal Perfusion Status

A

Urinary output low
BUN and Creatinine measured

37
Q

Aortic disection = lumen is destroyed is type A or type B (true or false aneuyrsm?) destruction of arterial wall of artery

A
38
Q

Slide#83
Cause of aterial wall xxxxxxxx called

A

Aortic dissection

39
Q

Slide #86
Scapular radiating from scapular to spine to lungs

A

Nitro will not work

40
Q

Sharp and worse pain ever with aneuyrsm mimics

A

MI

41
Q

But not really MI

A

Its angina = hear a new high pitch sound called heart murmur

42
Q

With Aneuyrsm / aortic dissection

Slide # 87
Tear: causes blood to ooze out

A

Dyspnea = develop as pain

43
Q

Complication of aortic dissection results in

A

HF

44
Q

Aortic dissection leads to

A

Cadiogenic Shock
Pt. ray or cyanotic, eventually pt. can die

45
Q

In aorta develops to

A

Cardiac Tamponade

46
Q

Slide#89
Pericardial sac fluid accumulates = how can your heart expan?

A

Pericardialcentesis

47
Q

Aortic disection cause

A

HTN leads to aortic dissection then BP drops

48
Q

Goal with aortic dissection

A

to decrease the SBP = 120 to minimize injury to arterial wall and destroy inner lining of artery

49
Q

Slide#88 and Slide#89
Cardiac tamponade is resolved by

A

Pericardialcentesis

50
Q

Pericardial sac is filled with fluid= how can the heart expand

A

Pericardialcentesis

51
Q

Cardiac Tamponade s/s

A

Narrowed pulse pressure
Distended Neck Veins
Muffled Heart Sound

52
Q

Diagnostic Slide#91

A

CXR
CT scan
3D bleeding coming from MRI transection
PPE (TTE)

53
Q

Slide#93: Pain Mgmt

A

Slow heart give beta blockers like Esmolol
Morphine = SNS stimulation
CC decreases HR
Give ACE

54
Q

Slide#95
Temporary Chain
TEVAR (Thoracuc Endovascular Aortic Repair)

A

Prevent Paralysis

110_Cardiac (8 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions