Cardiac 1

Card Set Information

Author:
tobeapunk
ID:
126299
Filename:
Cardiac 1
Updated:
2012-01-06 18:31:48
Tags:
CAD MI HF
Folders:

Description:
CAD, MI, HF
Show Answers:

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  1. 5 criteria for metabolic syndrome
    • Waist > 40"
    • Trig > 140
    • BP > 130
    • Fasting glucose > 130
    • HDL < 40
  2. CAD risk equivalents
    • DM
    • CKD
    • PVD
    • Cerebral vascular disease
  3. Angina S/S in women
    • SHOB
    • Cold sweat
    • Fatigue
    • N/V
    • Dizzyness
  4. 3 causes on MI
    • Plaque rupture
    • Artery thrombosis
    • Artery Spasm
  5. Optimal MI treatment time
    2 hours from S/S onset
  6. Infarction of ECG
    Q wave (may last for months)
  7. MI injury on ECG
    ST elevation
  8. Ischemia on ECG
    T wave inversion
  9. MI complications
    • SB
    • ST
    • PACs
    • AF
    • V dysrhymias
    • AV block (inf wall MI)
    • Aneurysm
  10. Medical Management on MI
    • PCI
    • Anticoag
    • B blockers
    • ACE/ARB
    • Glucose control
  11. Ventricular remodeling can be prevented with...
    B blockers and ACE inhibitors
  12. Main cause of HF
    CAD
  13. Class I HF
    ADLs cause no S/S
  14. Class II HF
    ADL cause S/s but they subside with rest
  15. Class III HF
    Min activity causes S/S
  16. Class IV HF
    S/S present @ rest
  17. Progression of Left HF
    Arteries constrict to compensate, SVR goes up, heart work is increased, blood backs up into lungs, then right heart
  18. S/S of Left HF
    • Weak pulses
    • Cool/pale extremites
    • Fatigue
    • Pulm edema
    • Increased HR/RR
  19. Cause of Right HF
    • Most commonly Left HF
    • PEs
    • MIs
  20. S/S of Right HF
    • JVD
    • Increase CVP
    • Weakness
    • Edema
    • Hepatomegaly
  21. Sys HF is...
    Left HF plus EF less then 50%
  22. S/S of Sys HF
    • Dyspnea
    • Exercise intolerance
    • Fluid overload
  23. Diastolic HF is...
    inability of heart to relax, causing increased pressures with less volume
  24. In HF the sympathetic nervous system...
    • Increase HR/BP
    • Releases more catecholamines
    • Causes peripheral constriction and shunting
  25. Renin is relased when..... from the ....
    • CO is low
    • Kidneys
  26. Angiotensin I is made from
    Renin and angiotensinogen
  27. Angiotensin II is made from.... and has what effects
    • Angiotensin I and ACE
    • Is a strong vasoconstricter
  28. Aldosterone is released when... and has what effects
    • Angiotensin II is in the adrenal glands
    • Causes the distal tubules to retain Na
  29. When CO is low, the renal tubules...
    Constrict and retain Na in proximal and distal tubules
  30. Pulmonary edema occurs in HF when...
    The left ventricule backs up and the lympathic system cannot remove the extra fluid
  31. Medical management in HF (8 answers)
    • Diurectics
    • Vasodilators
    • Nitrates
    • Dopamine
    • Nesiritide
    • ACE/ARBs
    • B blockers
    • Digoxin

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