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MI / Angina Pectoris Flashcards

1
Q

What type of Mi if both Right and Left Coronary Artery is Obstructed?

Transmural MI
Subendocardial MI

A

Transmural MI

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2
Q

What is the most common cause of MI?

HPN
Thrombus

A

Thrombus formation

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3
Q

What type of Mi if ONE Coronary Artery is Obstructed?

Transmural MI
Subendocardial MI

A

Subendocardial MI

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4
Q

Plaque Formation

Atherosclerosis
Arteriosclerosis

A

Atherosclerosis

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5
Q

Hardening of Plaques

Atherosclerosis
Arteriosclerosis

A

Arteriosclerosis

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6
Q

What is the obstruction in the Right Circumflex Artery?

Posterior Wall MI
Lateral Wall MI
Anterior Wall MI

A

Posterior Wall MI

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7
Q

What is the obstruction in the Left Circumflex Artery?

Posterior Wall MI
Lateral Wall MI
Anterior Wall MI

A

Lateral Wall MI

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8
Q

What is the obstruction in the Left Anterior Descending Artery?

Posterior Wall MI
Lateral Wall MI
Anterior Wall MI

A

Anterior Wall Mi

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9
Q

Types of Angina

Predictable Pain

Stable
Unstable
Prinzmetal
Angina Decubitus
Nocturnal Angina

A

Stable Angina (Typical)

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10
Q

Types of Angina

Unpredictable Pain

Stable
Unstable
Prinzmetal
Angina Decubitus
Nocturnal Angina

A

Unstable Angina (Atypical/Cresendo/Pre-Infaction)

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11
Q

Types of Angina

Pre-Infaction

Stable
Unstable
Prinzmetal
Angina Decubitus
Nocturnal Angina

A

Unstable Angina (Atypical/Cresendo/Pre-Infaction)

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12
Q

Types of Angina

Due to Exposure to Cold

Stable
Unstable
Prinzmetal
Angina Decubitus
Nocturnal Angina

A

Prinzmetal (Variant)

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13
Q

Types of Angina

Sudden Change in Position

Stable
Unstable
Prinzmetal
Angina Decubitus
Nocturnal Angina

A

Angina Decubitus

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14
Q

Types of Angina

Occurs only @ night during sleeping

Stable
Unstable
Prinzmetal
Angina Decubitus
Nocturnal Angina

A

Nocturnal Angina

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15
Q

Pain is ON and OFF

Angina Pectoris
MI

A

Angina Pectoris

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16
Q

Cannot be relieved by rest

Angina Pectoris
MI

A

MI

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17
Q

Pain is >10 mins

Angina Pectoris
MI

A

MI

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18
Q

Pain is >10 mins

Angina Pectoris
MI

A

MI

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19
Q

Bearable Pain

Angina Pectoris
MI

A

Angina Pectoris

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20
Q

Long in Duration

Angina Pectoris
MI

A

MI

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21
Q

What is Most Life Threatening between Angina Pectoris and MI?

A

MI

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22
Q

Can Relieve by Rest

Angina Pectoris
MI

A

Angina Pectoris

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23
Q

DOC for AngiNa

Nitroglycerin
Morphine Sulfate

A

NTG / Nitroglycerin

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24
Q

DOC for MI

Nitroglycerin
Morphine Sulfate

A

Morphine Sulfate

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25
Life threatening complication of MI Ventricular Arrhythmia Cardiogenic Shock
Ventricular Arrhythmia
26
No P-waves Bizarre QRS — most common in NCLEX Widening of QRS
PVC Bizarre QRS - most common
27
PVC of left untreated will lead to what?
V-tach / Ventricular Tachycardia
28
Most unstable time in Mi 6-8 hrs After 24 hrs
6-8 hrs
29
Stable / safest time in MI 6-8 hrs After 24 hrs
After 24 hrs
30
How many PVC should be reported
6-8 PVC / min Trigeminal PVC - 3ng magkakasunod na PvC
31
1st line of drugs for PVC Lidocaine Xylocaine Atrophine SO4 Amiodarone Cordarone
Lidocaine Xylocaine
32
What is the Universal Sign for Pt. With MI?
Levinge Sign
33
How do you describe Chest Pain in MI?
Chest Tightness
34
Zones of MI What manifested Ischemia (⬇️O2) Inverted T - wave S - T elevation Pathologic Q - wave
Inverted T - wave
35
Zones of MI What manifested Injury (Damage) Inverted T - wave S - T elevation Pathologic Q - wave
S - T Elevation
36
Zones of MI What manifested Infarction (Occlusion) Inverted T - wave S - T elevation Pathologic Q - wave
Pathologic Q - wave
37
What is the most specific/most sensitive test for MI? Troponin CPK SGOT
Troponin
38
Troponin that is not directly related to the heart Troponin I Troponin T
Troponin T
39
Troponin that is directly related to the hearth Troponin I Troponin T
Troponin I
40
Bizarre QRS
PVC
41
What is the complication if PVC is left untreated
V-Tach Ventricular Tachycardia
42
Zones of Mi What is inverted T - wave Ischemia (⬇️O2) Injury (Damage) Infarction (Occlusion)
Ischemia
43
Zones of Mi S - T elevation Ischemia (⬇️O2) Injury (Damage) Infarction (Occlusion)
Injury (Damage)
44
Zones of Mi Pathologic Q wave Ischemia (⬇️O2) Injury (Damage) Infarction (Occlusion)
Infarction (Occlusion)
45
What type of MI has Extensive Damage STEMI NSTEMI
STEMI
46
Most commonly use to diagnose MI ECG Troponin CPK SGOT
ECG
47
PRIORITY Morphine Oxygen
Morphine Sulfate
48
Most COMMONLY USE FIRST Morphine Oxygen
Oxygen
49
Should the nurse INITIAL ACTION Morphine Oxygen
Morphine
50
Should the nurse FIRST NURSING ACTION Morphine Oxygen
Morphine
51
Should the nurse FIRST INTERVENTION Morphine Oxygen
Morphine
52
Should the nurse ADMINISTER FIRST Morphine Oxygen
Morphine
53
Relieve Chest Pain Morphine Oxygen
Oxygen
54
⬇️O2 Demand Morphine Oxygen
Morphine
55
Should the nurse PREPARE FIRST Morphine Oxygen
Morphine
56
What is used to LOCATE occlusion? Cardiac Catheterization Cardiac Balloon (PTCA) Heart - Bypass (CABG)
Cardiac Catheterization
57
What is used to RELIEVE occlusion? Cardiac Catheterization Cardiac Balloon (PTCA) Heart - Bypass (CABG)
Cardiac Balloon (PTCA)
58
Diversion of blood flow? Cardiac Catheterization Cardiac Balloon (PTCA) Heart - Bypass (CABG)
Heart - Bypass (CABG)
59
Used to relieve 1 or single occlusion ? Cardiac Catheterization Cardiac Balloon (PTCA) Heart - Bypass (CABG)
Cardiac Balloon (PTCA)
60
Stenting? Cardiac Catheterization Cardiac Balloon (PTCA) Heart - Bypass (CABG)
Cardiac Balloon
61
Used for 2 or more occlusion? Cardiac Catheterization Cardiac Balloon (PTCA) Heart - Bypass (CABG)
Heart- Bypass (CABG)
62
Mgt for transmural (right and left Coronary Artery is Obstructed ) MI? Cardiac Catheterization Cardiac Balloon (PTCA) Heart - Bypass (CABG)
Heart - Bypass (CABG)
63
Mgt for Subendocardial MI (1 Coronary Artery is Obstructed)? Cardiac Catheterization Cardiac Balloon (PTCA) Heart - Bypass (CABG)
Cardiac Balloon (PTCA)
64
The nurse is caring for a pt with MI complains of chest pain, Priority? Morphine Oxygen
Morphine
65
The nurse is caring for a pt with anginal pain? Morphine Oxygen Nitroglycerin
Nitroglycerin
66
While eating in the restaurant, the pt with MI complains of chest pain? Morphine Oxygen Nitroglycerin ASA (Aspirin/Salycylate)
Aspirin
67
The pt diagnosed with MI complains of chest pain while in the ambulance transporting in the hospital? Morphine Oxygen Nitroglycerin Aspirin
Aspirin
68
How many tablets of Nitroglycerin you can give to the pt? 2 3 4
3
69
How many minutes intervals of nitroglycerin when administering? 3 4 5
5 mins for 10 mins
70
When you should take nitroglycerin? Before climbing / sex During climbing / sex After climbing / sex
Before climbing / sex
71
What is the complication 1-6 wks after MI? Dressler’s Syndrome Beck’s Triad
Dressler’s Syndrome
72
DOC for Dressler’s Syndrome? Aspirin Nitroglycerin
Aspirin
73
If the Aspirin is not effective in treating Dressler’s Syndrome? What you should give? Nitroglycerin Morphine Corticosteroids (steroids)
Corticosteroids- anti - inflammatory
74
POC for Dressler’s Syndrome High fowlers Orthopneic / Sitting Leaning Forward
Orthopneic / Sitting Leaning Forward
75
Complication of Dressler’s Syndrome (Pericarditis) if left untreated; that will lead to Accumulation of Fluid in the Pericardial Sac Cardiac Arrhythmia Cardiac Tamponade
Cardiac Tamponade
76
Triads of Cardiac Tamponade Beck’s Triad Charcot’s Triad
Beck’s Triad - JVD - Hypotension - Muffled ❤️ sound
77
Beck’s triad includes what?
Hypotension JVD Muffled ❤️ sound
78
What is the only treatment for Cardiac Tamponade
Pericardiocentesis - removal of fluid in the Pericardial Space

Cardiovascular (4 decks)

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