1 AACN PCCN REVIEW: AC UTE CORONARY SYNDROME EXAM | QUESTIONS & ANSWERS (VERIFIED) | LATEST UPDATE | GRAD ED A+ Acute Coronary Syndrome Includes Correct Answer: MI Unstable Angina Angina Correct Answer: Myocardial Anoxia - decreased 02 through coronary arteries Exertional Angina Correct Answer: Four "E's" Exercise Emotional States After Eating Extreme Temperature Higher rates of MI during thanksgiving night, and first day of snow, etc. Prinzmetal's Angina or Variant Angina 2 Correct Answer: Pain that occurs possibly from Coronary Vasospasm during Rest. Stable Angina Correct Answer: Pain that is relieved with Rest or Nitro Unstable Angina Correct Answer: a. Has a recent onset (within 2 months) and severely limits activity b. Newly occurs at rest c. Differs in characters or symptoms from the person's 'typical exertional angina' (it occurs with less exertion, has a greater intensity or longer duration, requires more interventions before obtaining relief) Non Ischemic Cardiac Causes of Chest Pain: Correct Answer: a. Acute Pericarditis b. Cardiac Tamponade c. Acute Myocarditis d. Aortic Stenosis e. Myocardial Contusion f. Mitral Valve Prolapse g. Cardiomyopathies Non Ischemic Non Cardiac Causes of Chest Pain 3 Correct Answer: a. Panic Attack/Anxiety b. Illicit Drug Use c. Gastrointestinal Disorders d. Spontaneous Pneumothorax e. Pulmonary Embolism f. Pulmonary Hypertension g. Esophageal Rupture h. Costochondritis i. Hypovolemia Unstable Angina Pathophysiology Correct Answer: Partially occluding thrombus If its unstable: We need to assess where they are on the timetable: Ischemia -->Injury -->Infarction Anti-platelet Therapies Correct Answer: Aspirin P2Y Platelet Inhibitors: Plavix, Ticagrilor, Effient Glycoprotein IIb Inhibitors Unstable Angina Assessment
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