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Flashcards in tut 1 angina Deck (20)
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1

what is the difference between nondenuding and denuding injury

2

steps in forming atheroscholerosis

 

3

what is collateral circulation

when atherosclorosis develop, the microcirculation become macrocirculation for blood supply.

4

what r the manifestation of CAD

Manifestations
 Angina Pectoris
 Acute Coronary Syndrome

 Sudden Cardiac Death

5

Relationships Among CAD, Stable Angina, and MI

6

types of Angina Pectoris

1. Silent Ischemia - associated with diabetes & HT

2. Prinzmetal’s Angina

3. Nocturnal Angina – not necessarily asleep

4. Angina Decubitus - chest pain while lying down and is relieved by standing or sitting

5. Unstable Angina Pectoris UAP

7

how acute coronary syndromes develop

8

acute coronary syndromes

- partially occluded VS totally occluded

 Prolonged ischaemia, not immediately reversible

 Deterioration of a once stable atherosclerotic plaque

 Partially occluded

- Unstable Angina pectoris
- Non ST segment elevation MI (NSTEMI)

 Totally occluded
- ST segment elevation MI (STEMI)

9

unstable angina pectoris

 Chest Pain
- New onset
- Occurs at rest
- Different pattern

 Fatigue
 Shortness of breath

 Indigestion
 Anxiety

10

NSTEMI or STEMI

 Sustained ischaemia causing irreversible myocardial cell death

 80-90% thrombus formation

 Location of damage  Transmural (see image)  Subendocardial

11

what is the hallmark for myocardial infaction 

pain

12

clinical menifestation of NSTEMI and STEMI

13

Immediate management of ACS – “priorities”

14

when is indicative change and reciprocal change occur

Indicative changes occur in leads that examine the area of infarction. Reciprocal changes occur in leads opposite the area of infarction

15

what does different lead look for on ECG

16

Serum cardiac markers in the blood after MI

17

objective data on cardiac assessment

18

objective data on cardiac assessment 

19

immediate and long term treatment goal for ACS

20

nursing management on ACS