NR 324 Cardiac

• types of angina

Answer prinzmetal (at rest)-> vasospasm microvascular (post-menopausal women) chronic stable (triggered by activity)

• CAD risk factors

Answer age, white males, smoking, sedentary, history, high choles- terol, obesity.

• diagnostic CAD

Answer

12- LEAD ECG ECHO

TEE coronary angiogram

• management of CAD

Answer goal is to decrease lipids!-statins -Niacin (vit. b3) -fibric acid derivatives -antiplatelets

SUBSCRIBE

• Types of HTN

Answer primary/essential (unknown cause) secondary (specific cause- disease) malignant- emergency

• complications of HTN

Answer arrythmias, systolic HF, cardiogenic shock, stroke, renal failure, LVH (decrease CO)

• management of HTN

Answer meds

Answer diuretics, ACEI, ARBS.-DASH -physical -no smoking -no alcohol

• Hypertensive urgency

Answer

180/110

• hypertensive emergency

SUBSCRIBE

Answer

220/140

• management for HTN crisis

Answer Clonidine PO IV

Answer Diltizem, Nicardipine, Nitro, Sodium nitroprusside

• Diagnostic of HTN

Answer lipid panel CBC, BMP, Mg & P urine analysis (mid-stream) BUN & creatinine 12-lead ECG

• Left sided heart failure

Answer

• right sided heart failure

Answer Cor pulmonale

• management of HF

SUBSCRIBE

Answer goal is to increase CO! diuretics (fluid volume excess) vasodilators (increase O2 delivery) Morphine(ADHF & PE)

Inotropic agents (dopamine, dobutamine, EPI, NOREPI, DIG) anti-hypertensive (CCB, betablockers) IF none of the above works, -O2 therapy (High RR, low O2 sat) -intraaortic balloon pump

15. ACS

Answer unstable angina, NSTEMI & STEMI

16. NSTEMI

Answer non-ST elevation myocardial infarction ST depression (ischemia)

17. STEMI

Answer ST elevation MI- infarction & necrosis

• S/S of unstable angina & NSTEMI

Answer indigestion fatigue SOB