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AACN PCCN Review: Acute Coronary Syndrome Exam Questions And Answers
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AACN PCCN Review: Acute Coronary Syndrome Exam Questions And Answers
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AACN PCCN Review: Acute CoronarySyndrome Exam Questions And
Answers
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 - 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
,AACN PCCN Review: Acute Coronary
Syndrome Exam Questions And
Answers
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 - correct answer a.
Panic Attack/Anxiety
b. Illicit Drug Use
c. Gastrointestinal Disorders
d. Spontaneous Pneumothorax
e. Pulmonary Embolism
, AACN PCCN Review: Acute Coronary
Syndrome Exam Questions And
Answers
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 - correct answer a. Assessment of Angina:
PQRST Assessment P: Pain, Placement, Provocation
Q: Quality, Quantity
R: Radiation, Relief
S: Severity, Systems (nausea, sweaty, dizziness)
T: Timing (when it started, how long did it last)
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