ACS

Question 1

What is Acs

Answer 1

Absent blood flow to the myocardium causing ischaenia of the muscle

Question 2

STEMI

Answer 2

Death of myocardium due to lack of blood flow through a coronary artery

In ECG - shoes st elevation and 2 contiguous ends that indicate immediate treatment needed

Question 3

Symptoms of STEMI

Answer 3

severe chest pain,cold sweat,SOB

Question 4

NSTEMI

Answer 4

Heart attack due to partial blockage of coronary artery.

No st elevation shown but T wave inversion

Elevated cardiac markers (troponin)

Question 5

Symptoms of NSTEMI

Answer 5

Chest pain
Raised troponin

Question 6

Unstable Angina

Answer 6

Myocardial ischaemia without elevation in cardiac marked or st elevation

Only known with chest pain

Question 7

Symptoms of ACS (CHEST PAIN)

Answer 7

-chest pain
-heavy pain
-extreme pain
-sweating
-tachycardia
-palpitation
-anxiety
-nausea/dizziness

Question 8

DIAGNOSIS OF ACS

Answer 8

-history of symptoms
ECG
ANGIOGRAM
RISK FACTOR ASSESMENT
troponin elevation
Stress test
Echocardiogram
Thrombolysis assesments

Question 9

What does the angiogram check for

Answer 9

Blockages in hearts arteries

Question 10

What risk factor assessment

Answer 10

Qrisk3

Question 11

What does the echocardiogram check for

Answer 11

Heart function

Question 12

Medication for ACS

Answer 12

Morphine
Oxygen
Nitrates
Aspirin

Beta blockers
Ace inhibitors
Statins
Heparin

Question 13

What does nitrates do

Answer 13

Vasodilates

Question 14

What does heparin do

Answer 14

Stop blood clits

Question 15

What does ace inhibitors do

Answer 15

Lowers BP and stress

Question 16

Beta blockers function

Answer 16

Slows heart rate and strain

Question 17

What do statins do

Answer 17

Lower cholesterol

Question 18

Nursing intervention short term (ACTION)

Answer 18

-administer medication
-continuous monitor
-teach patients about treatment plan
-identify deterioration signs
-oxygen therapy
-notifying medical team

Question 19

Long term care (WATCH HEART)

Answer 19

-weight monitor
-anxiety management
-troponin/ecg
-cholesterol levels
-heart function

-hypertension
-encouraging activity
-aspirin and dual anti platelet
-risk factor reduction
-time after recovery

Question 20

Discharge plan

Answer 20

-rest
-education on medication adherence
-encourage healthy lifestyle
-b0/cholesterol monitoring

Question 21

ADLS

Answer 21

Safe environment (semi fowler position,o2 therapy)
-breathing
-communication(SBAR)
-eating/drinkinh (no food unless for medication) NPO
-eliminating (fluid intake/fluid output
-sleeping (assess for sleep apnea/difficulty)
-mobilizing (avoid if unstable)
-activity (educate)
-personal care
-dying