Medsurg final 7 Flashcards
Disruption in or deficiency of coronary artery blood supply, resulting in necrosis of tissue
MI
4 Causes of MI
Thrombus or clotting
Shock or hemorrhage
MI assessment: Sudden onset of pain in the lower s___ region
sternal
MI assessment: It differs from angina pain in its
sudden onset
MI assessment: Pain is not relieved by ___ or ___
rest or nitro
MI assessment: Pain may persist for
hours or days
MI assessment: Client may not have pain (silent MI), especially those with ____ ___
diabetic neuropathy.
MI assessment: Creatine kinase (CK) rises after
3 to 12 hours of an MI
MI assessment: Creatine kinase (CK) peaks at
24 hours
MI assessment: ____ band is specific to myocardial cells and can help quantify myocardial damage.
CK-MB
MI assessment: released into circulation after MI or injury and has greater sensitivity and specificity for myocardial injury than CK-MB.
Troponin
sounds like the best serum cardiac marker is
Troponin
MI assessment: pulse pressure
narrowed (i.e. 90/80)
MI: morphine is given for pain and to
increase O2 perfusion
MI: morphine is given to increase O2 perfusion because it
acts as a peripheral vasodilator and decreases venous return
Pancreatitis: think
insulin and glucose problems
Amylin
hormone that tells you to stop eating
Pheocromocytoma patient appearance
thin, tachycardic
Needed in the body for fight or flight
cortisol
orchectomy
castration
Impaired healing: 2 conditions besides DM
addisons and cushings
Stimulated by fight or flight
glucagon (because you need the extra energy)
3 factors of metabolic syndrome
Abd girth
HTN
Hyper lipid
When the patient’s blood sugar is at 212, they would feel
fine
