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NR 545 EXAM 3 LATEST ACTUAL EXAM STUDY GUIDE WITH QUESTIONS AND CORRECT ANSWERS WITH RATIONALES $12.49   Add to cart

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NR 545 EXAM 3 LATEST ACTUAL EXAM STUDY GUIDE WITH QUESTIONS AND CORRECT ANSWERS WITH RATIONALES

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NR 545 EXAM 3 LATEST ACTUAL EXAM STUDY GUIDE WITH QUESTIONS AND CORRECT ANSWERS WITH RATIONALES What is Angina? - Answer️️ -Angina, or angina pectoris, is often described as chest pain usually precipitated by stress or exertion and relieved rapidly with rest or nitrates. Those with angina...

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  • September 18, 2024
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EmillyCharlotte
TITLE: EMILLYCHARLOTTE 2024/2025 ACADEMIC PERIOD
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COPYRIGHT STATEMENT: ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED
FIRST PUBLISHED: SEPTEMBER 2024

NR 545 EXAM 3 LATEST 2024-2025 ACTUAL
EXAM STUDY GUIDE WITH QUESTIONS AND
CORRECT ANSWERS WITH RATIONALES


What is Angina? - Answer✔️✔️-Angina, or angina pectoris, is often described as chest

pain usually precipitated by stress or exertion and relieved rapidly with rest or nitrates.

Those with angina report varying symptoms including chest pain categorized as

squeezing while others describe the pain like a heavy weight being placed on the chest.

Angina is relatively common, and usually due to atherosclerotic heart disease.


What is the Patho of Angina? - Answer✔️✔️-Angina is chest pain that is associated with

decreased blood flow or ischemia to the myocardial tissue. The decreased blood flow

may be the result of atherosclerosis or coronary artery spasm. Neural pain receptors

are stimulated by accelerated cellular metabolism, chemical changes, and imbalances

What are signs and symptoms of Angina? - Answer✔️✔️-- chest heaviness

- chest pressure

- squeezing or fullness Sometimes this pain radiates to the left shoulder and arm while

others report pain in the jaw.



Generally, the attack length can range anywhere between three minutes to twenty

minutes. Attacks reported at greater than thirty minutes are concerning and could

indicate the development of acute coronary syndrome.

,TITLE: EMILLYCHARLOTTE 2024/2025 ACADEMIC PERIOD
OWNER: EMILLYCHARLOTTE
COPYRIGHT STATEMENT: ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED
FIRST PUBLISHED: SEPTEMBER 2024

What lab test are needed for angina? - Answer✔️✔️-- Troponin

- CK-MB: to evaluate for acute coronary symptoms as well as for anemia which might

be contributing to ischemic chest pain.

- An ECG should also be obtained to rule out acute coronary syndrome.

What are pharmacological remedies for Angina? - Answer✔️✔️-Nitroglycerin (Drug of

choice):



Nitroglycerin relaxes and widens the blood vessel promoting easier blood flow to the

heart muscle. Dosing of nitroglycerin is 0.3-0.6 mg by translingual spray or sublingual

tablet every five minutes, as indicated with a max of 3 doses in 15 minutes.



Beta-Blockers and ACE inhibitors

What is a myocardial infarction? - Answer✔️✔️-(Heart Attack)



A myocardial infarction (MI) occurs when blood flow to the heart is minimized. The

blockage is most often caused by a buildup of cholesterol, which forms a plaque in the

arteries that circulate oxygenated blood flow to the myocardium. When the plaque

breaks away it can form a clot, interrupting or completely blocking blood flow and

destroying a part of the heart muscle. Unlike with an episode of angina, those

experiencing a myocardial

infarction often report symptoms of pain at rest.

, TITLE: EMILLYCHARLOTTE 2024/2025 ACADEMIC PERIOD
OWNER: EMILLYCHARLOTTE
COPYRIGHT STATEMENT: ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED
FIRST PUBLISHED: SEPTEMBER 2024

What is the patho of a Myocardial Infarction? - Answer✔️✔️-During a myocardial

infarction there is an imbalance between myocardial oxygen supply and demand.

Prolonged ischemia (>30 minutes) from the lack of circulating blood flow to the

myocardium results in cellular death, further impacting the heart's ability to function.

Depending on the extent of the cell death, the heart might have decreased contractility

resulting in wall function abnormalities further placing the patient at risk for

decompensation.

What are the symptoms of a Myocardial Infraction? - Answer✔️✔️-- Sharp radiating pain

(Even at rest)

- Light-headed or have increased feelings of anxiety or impending doom.

- Nausea (more common in right coronary artery occlusion)

- Vomiting

- Diaphoresis

- Syncope

- Dyspnea

- Orthopnea

- Wheezing

What lab test are needed for a Myocardial Infraction? - Answer✔️✔️-- Troponins

- CK-MB

- An ECG will often demonstrate ST-segment elevation or new left bundle

branch block.

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