NUR265 Exam 1
Spring Term Enrichment
LABS
► Creatinine
► BUN
► Platelet Count
► PT
► INR
► PTT
► aPTT
... [Show More]
Procedures
► EKG
► Echocardiogram
► Cardiac Cath
► TEE
► CABG
► Thoracentesis
Drugs – Actions, Side Effects, Adverse Affects
► Nitroglycerin
► Beta Blockers
► Calcium Channel Blockers
► Gentamycin
► Amiodarone
Rhythm Strips – Identify Strip, clinical manifestations, and
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aBrtadmycaerdina ts
► Tachycardia
► Atrial Fibrillation
► PVC’s
► Ventricular Tachycardia
► Ventricular Fibrillation
Cardiac
Angina Pectoris
Angina is caused by reduced blood flow to your heart muscle. Your blood carries oxygen, which your heart muscle needs to survive.
When your heart muscle isn't getting enough oxygen, it causes a condition called ischemia. The most common cause of reduced blood flow to your heart muscle is coronary artery disease (CAD).
Stable vs Unstable Angina
Unstable/Stable
► Chest pain or pressure.
► Pain or pressure in the back, neck, jaw, abdomen, shoulders or arms.
► Sweating.
► Dyspnea.
► Nausea, vomiting.
► Dizziness or sudden weakness.
► Fatigue.
Treatment
► Nitro every five minutes X 3
► No relief – call 911
► Unstable Angina – could indicate
impending MI
Hospital Setting
► Check S/S MI
► Labs
► EKG
► Cardiac Monitoring
Myocardial Infarction
► The blockage is most often a buildup of fat, cholesterol and other substances, which form a plaque in the arteries that feed the heart (coronary arteries). Sometimes, a plaque can rupture and form a clot that blocks blood flow. The interrupted blood flow can damage or destroy part of the heart muscle.
Myocardial Infarction
Symptoms
► Pain areas: in the area between shoulder blades, arm, chest, jaw, left arm, or upper abdomen
► Pain types: can be like a clenched fist in the chest
► Pain circumstances: can occur during rest
► Whole body: dizziness, fatigue, lightheadedness, clammy skin, cold sweat, or sweating
► Gastrointestinal: heartburn, indigestion, nausea, or vomiting
► Arm: pain into shoulder, jaw, radiating down arm(s)
► Neck: discomfort or tightness
► Also common: anxiety, chest pressure, feeling of impending doom, palpitations, shortness of breath, or shoulder discomfort
Myocardial Infarction
Treatment
Treatment ranges from lifestyle changes and cardiac rehabilitation to medications, stents, and bypass surgery.
► Oxygen therapy
► Medications
► Blood thinners, Narcotic, Beta blocker, Statin, and ACE inhibitor
► Medical procedure
► Coronary angioplasty and stent
► Surgery
► Coronary artery bypass surgery
► Therapies
► Cardiac rehabilitation [Show Less]