heart disease

Question 1

CAD symptoms

Answer 1

1. elevated cholesterol and triglycerides
2. apprehension, feeling of impeding doom
3. pain on CHEST, neck, left shoulder and arm

Question 2

inverted Twave

Answer 2

ischemia- poor blood supply to the heart

Question 3

elevated ST segment

Answer 3

injury- acute or recent infarction

Question 4

significant Q wave w/ elevated ST segment

Answer 4

infarction

Question 5

significant Q wave but no elevated ST segment

Answer 5

old infarction

Question 6

CT scan

Answer 6

will show calcium in arteries indicating CAD

Question 7

cardiac catherization

Answer 7

via angiogram to see blockage or narrowing of blood vessels

Question 8

acute myocardial infarction

Answer 8

1. elevated creatine kinase (CK)

2. elevated lactic dehydrogenose (LDH)

Question 9

tx for MI

Answer 9

1. aspirin (antiplalet)
2. heparin (anticoagulant)
3. activase (breakdown thrombus)- adm during first 48hrs
4. NTG (decreases infarction size)- adm during 1st 48 hrs
5. lidocaine for PVCS
6. atropine, isuprel

Question 10

CHF sputum

Answer 10

pink, frothy

Question 11

right heart failure

Answer 11

1. peripheral edema

2. hepatomegaly

Question 12

CHF meds

Answer 12

1. digitalis (cardiacglycoside)
2. lasix (diuretic)
3. nipride (vasodilator)

Question 13

cardiogenic pulmonary edema

Answer 13

due to left heart failure

• increased PCWP
• increased CVP, PAP

Question 14

noncardiogenic pulmonary edema

Answer 14

due to ALI, ARDS

• normal PCWP
• increased CVP, PAP

Question 15

tx for pulmonary edema

Answer 15

1. digitalis, dobutamine (inotropic)
2. lasix (diuretic)
3. morphine, nipride (vasodilator)
4. aerosolized alcohol to reduce surface tension of secreations
5. CPAP