ATI cardiac Exam with complete
solutions latest version
cardiac enzymes - CORRECT ANSWER-Are released into the bloodstream when the
heart muscle suffers ischemia
- they are specific markers in diagnosing a MI
Indications: angina, MI, heart disease, hyperlipidemia
CK-MB - CORRECT ANSWER-Normal- 30-170 units/L
Elevated levels after MI- 3 to 6 hours
Expected duration- 2 to 3 days
Troponin-T - CORRECT ANSWER-Normal- less than 0.1 ng/ml
Elevated levels after MI- 2 to 3 hours
Expected duration- 10 to 14 days
Troponin-I - CORRECT ANSWER-Normal- less than 0.03 ng/ml
Elevated levels after MI- 2 to 3 hours
Expected duration- 7 to 10 days
Myoglobin - CORRECT ANSWER-Normal- less than 90mcg/l
Elevated levels after MI- 2 to 3 hours
Expected duration- 24 hours
Cholesterol - CORRECT ANSWER-Less than 200
- screening for heart disease
LDL - CORRECT ANSWER-Less than 130
- transports cholesterol to the body's cells from the liver
- bad
Triglycerides - CORRECT ANSWER-< 150
- evaluates risk for heart disease
HDL - CORRECT ANSWER-Females- > 55
BRAINSCAPE1
, BRAINSCAPE1
Males- > 45
- protects coronary arteries from heart disease by transporting cholesterol from the
body's cells to the liver
- good
echocardiogram - CORRECT ANSWER-Is an ultrasound of the heart
- used to diagnose balance disorders and cardiomyopathy
- nonivasive
Used for- cardiomyopathy, heart failure, angina, MI
stress test - CORRECT ANSWER-Provides information regarding the workload of the
heart
Used for- angina, heart failure, MI, dysrhythmia
Pharmacological stress test - CORRECT ANSWER-Dipyridamole, adenosine,
dobutamine
Elevated preload - CORRECT ANSWER-- crackles in lungs
- JVD
- hepatomegaly
- peripheral edema
- taut skin tugor
decreased preload - CORRECT ANSWER-- poor skin tugor
- dry mucous membranes
Elevated afterload - CORRECT ANSWER-- cool extremities
- weak peripheral pulses
Decreased afterload - CORRECT ANSWER-- warm extremities
- bounding peripheral pulses
Normal CO - CORRECT ANSWER-3-6
Angiography - CORRECT ANSWER-A coronary angiogram, is an invasive diagnostic
procedure used to evaluate the presence and degree of coronary artery blockage
Used for- unstable angina and ECG changes
- NPO 8 hours before
- assess for iodine allergy/shellfish allergy
- assess for renal function
- the client must keep affected leg straight after procedure: this is hard for arthritis
patients
ECG placement - CORRECT ANSWER-
BRAINSCAPE1