Cardiac Emergencies

Question 1

Sudden onset of CP with CAD kill what % of patients.

Answer 1

50%

Question 2

Hypertension at rest

Answer 2

> 135/85 to 160/90

Question 3

Toxemia of Pregnancy

Answer 3

• Between 20th and 40th week (full term)
• 5% of all pregnancies
• Hypertension is symptom, not cause
• Seizures

Question 4

Most MI’s occur

Answer 4

at 10AM on Mondays

Question 5

Cor Pulmonale

Answer 5

Heart failure due to pulmonary disease
Results in increased pressure in pulmonary arteries
Leads to right ventricular enlargement
Which leads to right sided failure (CHF)

Question 6

ascites

Answer 6

Fluid leaking flows into and fills abdominal cavity

Question 7

atelectasis

Answer 7

a complete or partial collapse of a lung or lobe of a lung

Question 8

% of death from cardiogenic shock

Answer 8

75%

Question 9

Cardiac Tamponade

Answer 9

Chest Pain 
*Narrowing PP
History of chest trauma
Tachycardia--compensatory
*Cardiac rhythm ectopy – Conduction system complication
*Becks triad
      -JVD
      -Hypotension
      -Muffled heart sounds

Question 10

Varicose Veins

Answer 10

Abnormal blood flow
The veins become distended and visible through the skin
Phlebitis (veins inflamed)
Thrombosis (blood clot in the vein)

Question 11

Vascular Occlusive Disorder

Answer 11

Sudden occlusion of blood vessel

Question 12

DVT greatest chance of occurrence

Answer 12

Popliteal artery

Question 13

HTN emergencies

Answer 13

Diastolyc BP >130

Question 14

HTN emergency that mimics stroke

Answer 14

Encephalopathy

Question 15

In SD county do we use fluid to treat CHF?

Answer 15

No

Question 16

Complications of vascular occlusive disorders

Answer 16

?

Question 17

HTN resting blood pressures

Answer 17

135/85 - 160/90

Question 18

How many americans suffer from HTN

Answer 18

50million or 2/3’s of the world

Question 19

Underlying problem in HTN

Answer 19

Increased preload

Question 20

common associated symptoms of chronic HTN

Answer 20

Cerebral Hemorrhage
CVA
MI
Renal Failure 
Abdominal or Thoracic Aneurysm
Pulmonary Edema
Toxemia Of Pregnancy

Question 21

S/S of Hypertensive Encephalopathy

Answer 21

HA, possible epistaxis
BP 210/130
Visual disturbances (transient blindness)
SOB
Nausea, Vomiting
Initial physical depending on area affected
Posturing is the beginning of herniation.
Seizure
Altered to no LOC