Term
|
Definition
| An abnormal accumulation of lipid and fibrous tissue in the vessel wall |
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Term
|
Definition
| "Plaque"-->Blockage-->complete occlusion-->hypoxia & ischemia in myocardium-->Myocardial Infarction |
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Term
| Non-modifiable risk factors for CAD |
|
Definition
| Family HX, Gender, Increasng Age, Race |
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Term
|
Definition
| High Cholesterol, smoking, HT, DM, obesity, stress |
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Term
What is Classic or Stable Angina?
Predictable? How is it relieved? |
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Definition
Pain lasting < 10 min
Predictable, relieved by rest or nitroclycerine |
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Term
|
Definition
| Unpredictable, pain w. little or no activity |
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Term
| What is Prinzmetals or Varient Angina? |
|
Definition
| 2nd CA vasospasm, not provoked by exercise |
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Term
| What can precipitate Angina pain? |
|
Definition
| Physical exertion, exposure to cold, heavy meal, stress, stimulants |
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Term
|
Definition
| Pain, Apprehension, Tightness, weakness, fatigue, numbness in arm |
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|
Term
| What would an Angina look like on EKG? |
|
Definition
|
|
Term
| What are signs and symptoms of heartattack in Women? |
|
Definition
| Fatigue, Back pain, Dyspnea, Nausea, Weakness |
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Term
| If pain last > 10 min, not relieved by 2 Nitros, 5 minutes apart: |
|
Definition
| Impending Myocardial Infarction |
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|
Term
What are some other Interventions for Angina?
Medication? |
|
Definition
| Beta blockers (propanolol, Atenolol), Ca channel blockers, ACE inhibitors, Anticoagulants, Cholesterol lowering "statins" |
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|
Term
| What is the Etiology of Myocardial Infarction? |
|
Definition
| 1. Reduced blood flow (Atheroma, vasospasm) 2. Complete Arterial occlusion (Thrombi, emboli) 3. Reduced cardiac blood flow (Hemorrhage, shock) |
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Term
|
Definition
| Pain (from chestpain, you have 6 hrs to reverse the damage), Anxiety and feeling of impending doom, N/V |
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Term
|
Definition
| Pulse changes, Diaphoretic, Skin color, Temp, WBC, EKG Changes (ST segment elevation), INCREASE in MB & Troponin, Change in Level of Conciousness, Signs of SHOCK |
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Term
| What are Nursing Interventions for MI? |
|
Definition
| O2, Morphine, Heart monitor, VS, Bedrest, IV, avoid valsalva, Sedatives, antiarrhythmics, Thrombolytics (Urokinase, Retavase, Activase) |
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Term
What is Major ADE of Thrombolytics?
Contraindications? |
|
Definition
BLEEDING!
Major trauma or surgery within past 6 weeks, Active bleeding, pregnancy
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Term
What is Medical Intervention for MI?
Candidate?
Complications? |
|
Definition
PTCA Percutaneous transluminal coronary angioplasty
Candiate: occlusion not in the Left Main. Candidate for bipass surgery.
Complications: dissection, perforation, vasospasm, MI, Dysrhythmias, Cardiac arrest, hemorrhage, Thrombus |
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Term
|
Definition
| Assess for chest pain, Nitro, Anticoagulants |
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Term
|
Definition
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