CVD PT Screening

Question 1

Clues to CV signs and symptoms. If you have 2 of the 3 P’s and MI in very unlikely. What are the three P’s?

Answer 1

pleuritic pain
pain on palpation
pain with changes in position

Question 2

Angina has a lag time of … it does not occur immediately after physical activity but …pain can.

Answer 2

5-10

MSK

Question 3

Chest pain, shoulder pain, neck pain or temporomandibular pain occurring in the …. may be cardiac.

Answer 3

presence of CAD or history of MI

Question 4

Upper quadrant pain that is …. is usually cardiac.

Answer 4

reproduced by lower quadrant activity

Question 5

Someone with … who becomes weak or short of breath with … could have ischemia or infarction.

Answer 5

history of angina

arms overhead

Question 6

Location of angina pectoris

Answer 6

sub-sternal/retrosternal
left chest
midthoracic
aching in R. biceps

Question 7

Referral of angina pectoris

Answer 7

neck
jaw
back
shouldre
arms
toothache

Question 8

Description of angina pectoris pain

Answer 8

viselike pressure
squeezing
heaviness
burning 
indigestion

Question 9

Intensity of angina

Answer 9

mild to moderate

builds up gradually or may be sudden

Question 10

Duration of angina

Answer 10

less than 10 min

never over 30

Question 11

Relieving factors of angina

Answer 11

rest or nitro

Question 12

Aggravating factors of angina

Answer 12

exercise
cold weather
heavy meals
emotional stress

Question 13

PT response to angina

Answer 13

rest, stop activity
seated upright
nitro
check pulse and respiration
admin O2
if pt has known angina, 2nd dose of nitro
pt w/o angina history=ems

Question 14

Location of MI

Answer 14

substernal, anterior chest

Question 15

Referral of MI

Answer 15

radiate like angina frequently down both arms

Question 16

Description of MI

Answer 16

burning
stabbing
viselike
squeezing
heaviness

Question 17

Intensity of MI

Answer 17

severe

Question 18

Duration of MI

Answer 18

at least 30 min or up to 1-2 hours

soreness for 1-2 days

Question 19

Relieving factors for MI

Answer 19

none

Question 20

Signs and symptoms of atherosclerosis

Answer 20

fatigue and weakness
intermittent claudication
sensory impairment
peripheral pulses weak or absent
skin on feet and legs change

Question 21

Dissecting aortic aneurysm location

Answer 21

anterior chest for thoracic and abdomen for abdominal

Question 22

Referral of pain for aortic aneurysm

Answer 22

pain may move in the chest as dissection progresses
neck
shoulders
interscapular area
lower back

Question 23

Description of pain for dissecting aortic aneurysm

Answer 23

knifelike, tearing, dull ache

Question 24

Intensity of pain for aortic aneurysm

Answer 24

severe

Question 25

Duration of pain for aortic aneurysm

Answer 25

hours

Question 26

Signs and symptoms for dissecting aortic aneurysm

Answer 26

pulses absent person senses heartbeat when lying down pulsing abdominal mass

Question 27

Relieving factors for dissecting aortic aneurysm

Answer 27

none

Question 28

Aggravating factors for dissecting aortic aneurysm

Answer 28

supine position | accentuates symptoms

Question 29

PT response for aortic aneurysm

Answer 29

EMS

Question 30

Thrombophlebitis signs and symptoms

Answer 30

superficial veins with aching or burning in leg edema fever malaise

Question 31

Signs and symptoms of shock

Answer 31

thirst, agitation or restlessness | compensation: cool, moist, pale skin

Question 32

Septic shock:

Answer 32

patient experiences warm shock dry, flushed skin rapid, strong pulse hyperventilation

Question 33

Progressive signs of shock

Answer 33

lethargy weakness dizziness weak, thready pulse

Question 34

Location of pain for pericarditis

Answer 34

substernal or over sternum | sometimes left of midline toward cardiac apex

Question 35

Referral of pericarditis

Answer 35

``` neck upper back upper trap left SC area down left arm costal margins ```

Question 36

Description of pericarditis

Answer 36

localized more than MI sharp stabbing

Question 37

Intensity of pericarditis

Answer 37

moderate to severe

Question 38

Duration of pericarditis

Answer 38

continuous, may last hours or days with soreness

Question 39

Signs and symptoms of pericarditis

Answer 39

medically determined associated symptoms

Question 40

Relieving factors of pericarditis

Answer 40

sitting upright or leaning forward

Question 41

Aggravating factors of pericarditis

Answer 41

muscle movement associated with deep breathing left lateral side bending of upper trunk trunk rotation supine position

Question 42

Complete medical referral when client has combo of ... signs and symptoms of cardiac problems. When women with ... or ... who have positive family history of breast cancer. ... in any persons with history of unexplained sudden death in the family. More than ... episodes of palpitations in 1 min or palpitations lasting for hours or occurring with pain. ... without warning.

Answer 42

``` systemic chest or breast pain palpitation 6 fainting or syncope ```

Question 43

Cardiac clients should be sent back to physician if...

Answer 43

``` nitro doesnt work pattern of angina changes abnormally severe chest pain with nausea or vomiting anginal pain to jaw or left arm anginal pain doesnt relieve itself upper back feels abnormally cool client develops worsened dyspnea client has any doubt of their condition ```

Question 44

Emergency activation if anginal pain is not relieve in ... minutes. If the client has ..., .... or profuse.... Throbbing in.. , ... or.... pain that increases with exertion. Sudden worsening of ....

Answer 44

20 nausea, vomiting, sweating chest, back or abdominal intermittent claudication