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NUR 213 Perfusion MI
- What is the RCA?
Answer right coronary artery. The right coronary artery supplies blood to the right ventricle and the the right atrium.
- What is the LAD?
Answer left anterior descending (coronary artery). Supplies blood to the left ventricle. when blocked, this is nick named the widow maker.
- What is the circumflex coronary artery?
Answer The circumflex wraps around the heart and supplies blood to the left atrium, it comes off the LAD.
- Clinical manifestations of an MI are?
Answer Chest Pain. Dyspnea.Indigestion.Nausea.Anxiety.Cool, pale moist skin.Pain in left shoulder or arm.
- Myocardial infarction is a lack of...
Answer perfusion to the muscles of the heart.
- What might a female experiencing a MI have for s/s?
Answer nausea, heartburn, neck, jaw or shoulder pain, pain radiates to the back, pain in one or both arms.
- MI with diabetes may present with?
Answer More fatigue, they have more atheroscle- rotic plaques d/t the diabetes so are more prone to have MI.
- Diagnostic Tests for both chest pain and a MI are? [7]
Answer 1 / 2
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History & Physical. ECG- 12 lead.CXR.Labs . Echocardiogram. Stress Test.Cardiac Catheterization aka Coronary Angiography.
- When is it safe to do a stress test?
Answer Only if triponin is negative, because if the heart muscle is injured, they don't want to injure it further.
- If the troponin is positive, they can't do a stress test, so what would they do?
Answer Cardiac catheterization
- Which is the gold standard and which is the least invasive diagnostic tests for MI?
Answer Gold is cardiac catheterization.Least invasive is stress test.
- History and physical for chest pain and MI are?
Answer Do they have a history of HBP, diabetes, what were they doing when the pain started.
- ECG for chest pain and MI.
Answer 12 lead
Answer for diagnostic ST elevation [STEMI st elevation myocardial infarction, shows a block in a coronary artery].
- why do we do a chest xray for chest pain and MI?
Answer see size of heart, rule out clot or pneumonia
- What labs do we take when someone comes in with Chest pain or an MI?
Answer Cardiac Enzymes, CBC to rule out infection, Lipid Panels to see if they have hyperlipidemia, PT, PTT INR to look for increased clotting.
- If a person comes in with chest pain and MI, why do we do echocardiogram [uses sound
waves to get images of heart]?
Answer to see their ejection fraction, and to see if there is any valve abnormality
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