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2 Classification of NSTEMI
- answer-2 Classifications: ST depression/ T-wave inversion.
NSTE - Negative Troponin -> Unstable Angina (precursor to MI, blood flow
restored) - Outpt stress testing.
NSTEMI - Positive Troponin - > AC use, Heart Cath within 48 hrs, CABG ( IF L.
MAIN VESSEL OR > 3 VESSEL)
Afterload
- answer-The resistance (pressure) the ventricles need to overcome.
High - Vasoconstriction (pul htn)
Low - Vasodilation ( sepsis)
Cardiac Blood Flow
- answer-1. Superior/Inferior Vena Cava
2. Right Atrium
3. Tricuspid Valve
4. RIght Ventricle
5. Pulmonic Valve
6. Pulmonic Artery - > Lungs
7. Pulmonic Veins
8. Left Atrium
9. Mitral Valve
10. Left Ventricle
11. Aortic Valve
12. Aorta
Causes of Mitral Valve Regurgitation
- answer-infective endocarditis, Cardiomyopathy, ruptured chordae tendineae from
an MI, mitral valve prolapse
Chest Pain / Symptom Assessment - PQRST
- answer-Provocation
, Quality
Region/radiation
Severity
Timing
Classification of Acute Coronary Syndrome
- answer-1. NSTEMI
2. STEMI
Diabetes Insipidus (Sip)
- answer-antidiuretic hormone is not secreted adequately, or the kidney is resistant
to its effect
Diabetes insipidus labs
- answer-1. hypernatremia
2. elevated BUN/Cr
3. increased serum osmo >295
4. decreased urine osmo < 200
5. decreased urine specific gravity < 1.005
6. Decreased ADH
7. Polydipsia
diabetes insipidus treatment
- answer-Desmopressin (vasopressin);
hydrochlorothiazide, hypotonic sol.
diabetes ketoacidosis labs
- answer-PH (acidotic - Increased ketones)
Urine Glucose
Blood Glucose 300 - 800
Decrease HCO3
Decrease Na
Elevated K
Increased Anion Gap
Diabetes Ketoacidosis Pathophysiology
- answer-- Too much glucose & too little insulin.
- Body compensates w/ osmotic diuresis
- Leads the the 3Ps (Polyuria, polydipsia, polyphagia) & glycourisa, dehydration &
electrolyte imbalance.