case study

Question 1

troponin I & T indicates

Answer 1

the extent of infarction damage

Question 2

oxygen demand issue interventions

Answer 2

• rest, remove the trigger
• vasodilator (BP)
• morphine (pain)
• beta-blocker (HR, BP)
• ACE inhibitor (BP)

Question 3

oxygen supply issue interventions

Answer 3

• oxygen (if < 90%)
• aspirin (anti-platelet aggregation)
• thrombolytic (clot lysis)
• anticoagulant (prevent clots)
• statin (decrease lipids)

Question 4

complications of venous thrombosis

Answer 4

• pulmonary embolism
• chronic venous occlusion
• valvular destruction
• venous obstruction

Question 5

what can valvular destruction cause

Answer 5

• venous ulcers
• increased venous pressure
• varicosities

Question 6

what can venous obstruction cause

Answer 6

• increased distal pressure
• fluid stasis
• edema
• venous gangrene

Question 7

6 indications for anticoagulants

Answer 7

• immobility
• Afib (dysrhythmia)
• post MI or stroke
• cancer
• mechanical heart valve
• history of VTE/PE

Question 8

what drugs share a risk of bleeding

Answer 8

• anticoagulants
• anti-platelets
• thrombolytics

Question 9

4 concerns with HTN

Answer 9

• target organ damage
• stress on the heart (L ventricle hypertrophy)
• stress on the vessels (atherosclerosis)
• nephropathy (renal disease)

Question 10

hypertensive crisis

Answer 10

DBP > 130

IV hydralazine to prevent target organ damage

Question 11

how does starvation impact diabetes

Answer 11

triggers cortisol secretion which blunts the insulin response

Question 12

what is a normal HgbA1C

Answer 12

< 6%