Brainscape's Knowledge GenomeTM

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


See full index

Medsurg > Coronary Artery Disease > Flashcards

Coronary Artery Disease Flashcards

Exam 2

1
Q

Coronary Artery Disease

Epidemiology

A

16.5 million people over age 20

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

Coronary Artery Disease:

What are the two broad groups of Risk Factors

A

Modifiable

Nonmodifiable

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

Coronary Artery Disease:

Pathophysiology:

A

Atherosclerosis forms and occludes coronary arteries

Reduced blood flow through coronary microvasculature

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

Coronary Artery Disease:

Modifiable Risk Factors

A

Increased total cholesterol, hypertension, diabetes, obesity, smoking, physical activity

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

Coronary Artery Disease

Pathophysiology:

Atherosclerosis forms and occludes coronary arteries

This leads to:

A

Unstable angina

Myocardial infarction

Sudden cardiac death

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

Coronary Artery Disease:

NonModifiable Risk Factors

A

Gender, race, heredity, age

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

Coronary Artery Disease:

Medical Management- Diagnostic test includes:

A

Labs

EKG

Exercise Stress Test

Coronary angiography

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

Coronary Artery Disease:

Pathophysiology:

Reduced blood flow through coronary microvasculature leads to:

A

Ischemic symptoms

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

Coronary Artery Disease:

Medications- What do they do?

A

Stop aggregation of blood components to endothelium

Control factors leading to endothelial damage

Relief of symptoms

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

If someone is having a heart attack, what is the treatment?

A

MONA

Morphine

Oxygen

Nitroglycerin

Aspirin

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

Coronary Artery Disease:

Surgical Management includes:

A

Percutaneous transluminal coronary angioplasty

Coronary artery bypass graft

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

Coronary Artery Disease:

Medical Management – Lifestyle management includes:

A

Maintain healthy body weight

Diet

Physical activity

Smoking cessation

Screening and treatment for depression

Refraining from excessive alcohol use

Cardiac rehabilitation

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

Coronary Artery Disease:

Complications includes:

A

Myocardial infarction

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

What to know about nicotine patch?

A

When placing a nicotine patch, make sure to alternate sides;

Patch users can have nightmares so they remove at night

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

Coronary Artery Disease:

Nursing Management- Assessment and analysis

A

Careful assessment of chest pain
Be mindful of nonspecific symptoms

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

Coronary Artery Disease

Nursing Management- Nursing Diagnoses

A

Decreased tissue perfusion

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

Coronary Artery Disease:

Nursing Interventions – Assessments

A

Vital signs

Pain

Electrocardiogram

Physical assessment

Patient history

Recreational drug use

Depression screening

Laboratory values

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

Coronary Artery Disease:

Nursing Interventions – Actions

A

Administer oxygen

Obtain E C G

Administer medications as ordered

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

Coronary Artery Disease:

Nursing Interventions – Actions after P C I

A

Cardiac catheterization care

Report and treat chest pain immediately

Administer anticoagulants

Maintain fluids

Maintain bedrest

20
Q

Coronary Artery Disease:

Nursing Interventions – Teaching

A

Medication regimen

Angina management

Bleeding precautions

Risk factor reduction

When to call emergency services

Encourage cardiac rehabilitation

21
Q

Coronary Artery Disease

Evaluating care outcomes

A

Comply with medication therapy

Maintain healthy diet

Limit alcohol

Engage in regular exercise

22
Q

Infective Endocarditis

A

Infection of endocardium affecting heart valve

Usually bacterial

23
Q

Infective Endocarditis:

Risk Factors:

A

Age

Immunodeficiency

I V drug use

Diabetes mellitus

Prosthetic heart valves

Prior history endocarditis

Congenital/structural heart defect

Intravascular access or cardiac device

24
Q

Infective Endocarditis:

Clinical Manifestations

A

Osler’s nodes
Janeway lesions
Splinter hemorrhage
Murmur
Fever
Fatigue
Confusion

25
Q

Infective Endocarditis: Nursing Management- Diagnosis made how?

A

Blood cultures
Echocardiogram
Elevated white blood cell count

26
Q

Infective Endocarditis:

Medications

A

I V antibiotic therapy

27
Q

Infective Endocarditis:

Surgical Management

A

Valve repair or replacement

28
Q

Infective Endocarditis:

Complications

A

Embolic events
Transient ischemic attack or stroke
Pulmonary emboli
Heart failure
Dysrhythmia

29
Q

Infective Endocarditis:

Nursing Management- Assessment and analysis

A

Signs and symptoms due to infection

Sepsis is possible

30
Q

Infective Endocarditis:

Nursing diagnoses

A

\
Infection
Ineffective tissue perfusion
Decreased cardiac output

31
Q

Infective Endocarditis :

Nursing Interventions – Assessments

A

Vital signs
Auscultate breath and heart sounds
Neurologic function
Extremities
Skin assessment
Diagnostic test results
History of drug use, invasive procedures, implanted devices, valve replacement surgery

32
Q

Infective Endocarditis:

Nursing Interventions – Actions

A

Administer antibiotics as prescribed
Maintain IV access
Administer heart failure medications
Provide social support
Refer to addiction counseling

33
Q

Infective Endocarditis:

Teaching

A

Good oral hygiene
Inform healthcare provider of history
Complete antibiotic regimen

34
Q

Pericarditis

A

Inflammation of pericardium

35
Q

Pericarditis:

Epidemiology

A

5% of ED patients with nonischemic chest pain

15%-20% of post-M I patients

36
Q

Pericarditis:

Clinical Manifestations

A

Pleuritic chest pain
New or worsening pericardial effusion
E C G changes
Fever

37
Q

Pericarditis:

How is it most times?

A

bacterial in nature, and it can be described as something either infectious.

It can be autoimmune, or it can be neoplastic,

meaning it has to do with some type of cancer going on in.

38
Q

Pericarditis:

Medical Management- Diagnosis

A

E C G
Chest x-ray
Echocardiogram
Cardiac C T scan
M R I

39
Q

Pericarditis

Nursing Management- Medications- What are meds and what are they for?

A

Alleviate pain

Stop inflammatory process

Aspirin NSAIDs anti-inflammatories

Supportive therapy (ex; oxygen)

40
Q

Pericarditis:

Complications

A

Pericardial effusion- fast or slow

Fast- cardiac tamponade

41
Q

Pericarditis:

Nursing Management- Assessment and analysis

A

Signs and symptoms due to friction between inflamed layers of the heart with movement

42
Q

Pericarditis:

Nursing diagnoses

A

Chest pain
Risk for decreased cardiac output

43
Q

Pericarditis: Assessments

A

Vital signs, Pain
Auscultate heart sounds, E C G

44
Q

Pericarditis:

Nursing Intervention- Actions

A

Keep head of bed elevated
Administer medications as ordered
Provide emotional support

45
Q

Pericarditis:

Teaching

A

Avoid strenuous activities
Distinguish between pericarditis and heart attack

46
Q

Pericarditis:

Evaluating care outcomes

A

Relief of pain
Free from shortness of breath

Medsurg (21 decks)

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