Lecture 4 part 2

Question 1

Diagnosis of actute MI STEMI/NSTEMI

Answer 1

Ischaemic symptoms, Diagnostsic ECG changes, serum cardiac elevations

Question 2

Myocardial Infarction S/S?

Answer 2

Severe pain (crushing, in jaw, left arm, back, neck), SOB/Pulmonary oedema, Cold/clammy, arrhythmias, anxiety/panic, loss of consciousness, cardiac arrest

Question 3

Acute causes of chest pain?

Answer 3

Angina, Myocardial infarction, Gastric, Musculoskeletal, Aneurysm, Pleural, unknown

Question 4

What is Heart Failure?

Answer 4

An impairment of the pumping ability of the heart due to damage

Question 5

What causes heart failure?

Answer 5

Increase in workload due to hypertension (due to atherosclerosis) of a malfunction valve

Question 6

What is Hypertensive crisis?

Answer 6

Severely elevated BP, systolic 180 diastolic 110

Question 7

Symptoms of Hypertensive crisis?

Answer 7

May have none, headaches, dizziness, visual deterioration, breathlessness, malaise

Question 8

What is a hypertensive emergency?

Answer 8

Evidence of direct damage to organs as a result of severely elevated BP

Question 9

(assessment and management of critically ill) Priorities of care:

Answer 9

determine problem, initial assessment/monitoring, reduce workload of heart, optimise cardiac output, detect complications/treat, pain relief, psychological support

Question 10

(ECG) What is P wave?

Answer 10

Atrial depolarisation

Question 11

(ECG) What is QRS?

Answer 11

Ventricular depolarisation

Question 12

(ECG) What is T wave?

Answer 12

Ventricular repolarisation

Question 13

How many leads in a 12 lead ECG?

Answer 13

10, combo of limb leads gives 12