Perfusion Flashcards

1
Q

What are the risk factors for acute coronary syndrome?

A

High blood lipids, smoking hypertension, diabetes, obesity, family history, and age

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2
Q

What is the pathophysiology of MIs?

A

Blockage of coronary artery leads to imbalance in myocardial oxygen supply which leads to myocardium injury or death

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3
Q

What is the difference between STMI and NSTEMI

A

Stemi is a complete occlusion of the coronary artery that will lead to cell death, while nstemi is blockage of artery without cell death

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4
Q

What is the diagnostic test for stemi and nstemi

A

12 lead electrocariogram

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5
Q

What are the manifestations of an MI

A

Chest pain, pain raidates to arms, chest tightness, heaviness, SOB, diaphoresis,

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6
Q

What are the lab values for MIs and which one differed for stemi and nstemi

A

Troponin, CK-MB, and myoglobin. Troponin levels can tell if its stemi or nstemi

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7
Q

What are the immediate drugs used for acute coronary syndrome?

A

Oxygen, nitro, aspirin, and morphine

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8
Q

What is the goal for ACS pharmacology and what are drugs used for this?

A

The goal is to minimize cardiac damage and preserve function of tissue. The drugs used are beta blockers, statins, ace inhibitors, heaprin and clopidogrel

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9
Q

What are treatments for ACS

A

Bed rest, angiogram/angioplasty, thrombolytic therapy, and cardiac rehab

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10
Q

What is involved in preop care for cardiac catheterization?

A

procedure education, hold anticoagulants, bed rest, pedal pulses marked,

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11
Q

What is involved in post-op care for cardiac catheterization?

A

Assessing insertion sites, movement restriction, vitals, and change in meds

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12
Q

What is involved in pacemaker pre-op care?

A

Education on device and mobility restrictions, telemetry, NPO during day of surgery

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13
Q

What is involved in pacemaker post-op care

A

Assessing insertion site, vitals, mobility restrictions, monitoring telemetry, and pacemaker

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14
Q

What are the risk factors for heart failure?

A

Atherosclerosis, smoking, obesity, peripheral vascular disease, sedentary lifestyle, high blood pressure, diabetes

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15
Q

What are the manifestations of heart failure?

A

SOB, fatigue, confusion, edema

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16
Q

What are the assessments and labs for heart failure?

A

History, weight, echocardiogram, and brain natriuretic peptide (BNP)

17
Q

What is the pharmacological treatment for heart failure?

A

ACE inhibitors, ARB, beta-blockers, diuretics, CCB, dobutamine

18
Q

What is the treatment for heart failure?

A

Nutritional therapy, oxygen therapy, decreasing risk factors

19
Q

What is atrial fibrillation?

A

Rapid disorganized and uncoordinated twitching of the atrial musculature.

20
Q

How does sinus tachycardia affect perfusion?

A

The increase in heart rate can affect ventricular filling which can then cause pulmonary edema

21
Q

How is atrial fibrillation noted?

A

An ECG,