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NR 341 Exam 2: Questions With Complete Solutions
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NR 341 Exam 2: Questions With Complete Solutions
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NR 341 Exam 2: Questions With Complete SolutionsSTEMI Right Ans - usually occurs because of plaque rupture leading to
complete occlusion of the artery
STEMI: STRIP Right Ans –
NSTEMI Right Ans - usually results from a partially occluded coronary
vessel
NSTEMI: STRIP Right Ans –
Aortic Aneurysm Right Ans - - dilation or thinning of vessel wall; treatment
based on size and symptoms
- can occur in thoracic aorta, thoracoabdominal aorta or abdominal aorta.
False Aneurysm Right Ans - blood leaks through a hole in the aorta
Fusiform Aneurysm Right Ans - aorta becomes balloon - like
Saccular Right Ans - aortic wall bulges like bubble
Dissecting Aneurysm Right Ans - aorta wall splits related to a tear in the
intimal layer allowing blood to flow through
, Dissecting Aneurysm S/S Right Ans - - sudden, sharp and shifting pain
- 20-30 discrepancy in systolic BP between L and R arms
- MEDICAL EMERGENCY
CABG Right Ans - - a surgical procedure in which the ischemic area or areas
of the myocardium are revascularized
- primary surgical treatment for CAD
CABG Procedure Right Ans - - new vessels constructed between aorta and
occluded coronary arteries
- palliative treatment, no cure
CABG Goals Right Ans - - increase blood flow to myocardium
- relieve symptoms
- prolong survival
- improve quality of life
CABG: Indications Right Ans - - chronic stable angina
- left main coronary occlusion
- triple vessel CAD
- left ventricular failure
Percutaneous Transluminal Coronary Angioplasty (PTCA): Indications
Right Ans - CAD
PTCA: Procedure Right Ans - - catheter with inflatable balloon tip inserted
in coronary artery
- balloon is inflated
PTCA: Advantages over CABG Right Ans - - less invasive
- local anesthesia
- ambulatory 24 hours after procedure
Acute Myocardial Infarction Right Ans - - caused by an imbalance between
myocardial oxygen supply and demand
- imbalance is the result of decreased coronary artery perfusion
- secondary to atherosclerosis
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