Management Of Acute Coronary Syndrome Flashcards
Risk factors for coronary artery disease
Nonmodifiable:
Male sex
Older age
Family history
Modifiable: Hypertension Diabetes mellitus Dyslipidemia Tobacco use
Ways ACS or angina can be present
Substernal chest pain
Exacerbated by stress
Alleviated by rest
Atypical angina has how many components
While noncardiac chest pain has
2 component
1 component
Which set of people has both atypical and noncardiac symptoms
Old woman with diabetes
Causes of chest pain ( life threatening)
Pneumothorax
Aortic dissection
Pulmonary emboli
Causes of edema
Increased vascular hydrostatic pressure Decreased oncotic pressure Increased vascular permeability Compensatory retention of sodium ans water by the kidney Regulation of capillary flow
Localized edema is associated with
Lymphatic obstruction
Insect bite
Chronic lymphangitis
Resection of lymphnodes
Generalized or peripheral is associated with
Congestive heart failure
Generalized edema or bilateral lower extremity has to do with
Diet Toxic exposures Smoking drinking history Chronic liver disease Renal failure Endocrinopathies
Which physical examination is used to check btw acute and chronic
Blood pressure measurement
Relative hypotension is related with
Cirrhotic liver disease
Cardiogenic shock
Hypertension
Chronic hypertensive state and primary renal disease
Test for a sign of chronicity is
Skin
Skin for signs of chronicity
Hemosiderosis
Lymphostatic verrucosis
Venous stasis ulcers
Pitting edema
A finger is pressed to select area
Nonpitting edema consist of
Lipedema- a chronic disorder od adipose tissue and lymphatic dysfunction
Myxedema- deposition on protein and much polysaccharides that cause boddy edema
What should we document in suspected heart failure
Jugulovenous distention
Hepatojugular reflux
S3/s4
Cardiac murmurs
Chronic liver disease consist of
Caput medusae sign- portal hypertension
Palmar erythema
Parotid enlargement
What is Delirium?
Sudden change is a persons mental function
What can cause inferior vena cava obstruction
Pregnancy
Symptoms of late pregnancy inferior vena cava
Intense pain in right hand side, muscle twitching, hypotension and fluid retention
Causes of generalized edema
Chronic kidney disease Heart failure Chronic hepatic insufficiency Low protein state Pregnancy and premenstural period
How rapidly should edema fluid be removed
In patients with decompensated heart failure
Acute pulmonary edema consist of
Enlarged heart size
Apical vascular redistribution
Small bilateral pleural effusion
When giving intravenous diuretic therapy ,,, monitor
Hypotension in naive patients
Electrolyte depletion and secondary cardiac arrhythmias
