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A collection of questions and answers related to acute coronary syndrome (acs), a critical medical condition. It covers various aspects of acs, including its types, symptoms, diagnosis, treatment, and complications. Designed to help students in the field of nursing prepare for exams and gain a deeper understanding of acs.
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What heart sounds would you hear instable angina? -- Answer ✔✔ pericardial friction rub
NSTEMI -- Answer ✔✔ decreased myocardial perfusion secondary to narrowing caused by a NON-occlusive thrombus, troponin elevated, no elevated ST on ECG STEMI -- Answer ✔✔ decreased myocardial perfusion secondary to narrowing caused by an OCCLUSIVE thrombus, troponin elevated and ECG changes Collateral circulation -- Answer ✔✔ arterial branching Develops over time in response to chronic ischemia Some people have developed so much that MI doesn't affect them Takes about 2 days Why might a pt with ACS have nausea and vomiting? -- Answer ✔✔ diversion of blood from GI system, or if MI is close to diaphragm it may irritate the nerve Difference in assessment with MI and PE -- Answer ✔✔ PE pain increases with breathing, is in different location, cough, DVT?, Virchow’s T/f ECG changes occur in an NSTEMI -- Answer ✔✔ false What is the gold standard biomarker for MI -- Answer ✔✔ troponin What is easier to fix: ST elevation or ST depression -- Answer ✔✔ ST depression (not permanent) Caused by decreased O2 supply CK -- Answer ✔✔ muscle damage Nonspecific (also elevated in rhabdomyolysis) When does troponin begin to rise? -- Answer ✔✔ 4 - 6 hours after MI