Podcast
Questions and Answers
Which dietary approach is recommended to prevent plaque buildup in arteries?
Which dietary approach is recommended to prevent plaque buildup in arteries?
What proportionate effect does smoking have on the risk of developing CAD?
What proportionate effect does smoking have on the risk of developing CAD?
What are the immediate benefits of smoking cessation?
What are the immediate benefits of smoking cessation?
What impact does increased physical activity have on insulin resistance?
What impact does increased physical activity have on insulin resistance?
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What should patients do before starting an exercise program?
What should patients do before starting an exercise program?
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What condition is characterized by a chromosome 19 defect affecting LDL removal?
What condition is characterized by a chromosome 19 defect affecting LDL removal?
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What are statins primarily used for?
What are statins primarily used for?
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Why should patients taking statins report muscle pain to their health-care provider?
Why should patients taking statins report muscle pain to their health-care provider?
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What does the prefix 'hyper' indicate in the term hyperlipidemia?
What does the prefix 'hyper' indicate in the term hyperlipidemia?
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Which of the following is a primary goal in the nursing care plan for a patient with a peripheral arterial occlusive disorder?
Which of the following is a primary goal in the nursing care plan for a patient with a peripheral arterial occlusive disorder?
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What is a common risk factor for developing an aneurysm?
What is a common risk factor for developing an aneurysm?
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Which nursing intervention helps improve peripheral blood flow in patients with a peripheral arterial occlusive disorder?
Which nursing intervention helps improve peripheral blood flow in patients with a peripheral arterial occlusive disorder?
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What is the significance of checking capillary refill in a patient's extremities?
What is the significance of checking capillary refill in a patient's extremities?
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Which of the following statements is true regarding abdominal aortic aneurysm (AAA)?
Which of the following statements is true regarding abdominal aortic aneurysm (AAA)?
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In the evaluation of a patient with peripheral arterial occlusive disorder, what indicates effective interventions?
In the evaluation of a patient with peripheral arterial occlusive disorder, what indicates effective interventions?
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What imaging technique is covered by Medicare for certain individuals to screen for an abdominal aortic aneurysm (AAA)?
What imaging technique is covered by Medicare for certain individuals to screen for an abdominal aortic aneurysm (AAA)?
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What is a major goal of nursing care for patients with Buerger disease?
What is a major goal of nursing care for patients with Buerger disease?
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Which symptom is associated with distal extremity ischemia?
Which symptom is associated with distal extremity ischemia?
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Which nursing assessment finding should be reported immediately to prevent limb loss?
Which nursing assessment finding should be reported immediately to prevent limb loss?
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What lifestyle change is emphasized for Buerger disease patients to promote circulation?
What lifestyle change is emphasized for Buerger disease patients to promote circulation?
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What should be included in daily foot care for patients at risk of PAD complications?
What should be included in daily foot care for patients at risk of PAD complications?
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Which conditions are identified by a serum glucose and lipid panel in the assessment for PAD?
Which conditions are identified by a serum glucose and lipid panel in the assessment for PAD?
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What physical characteristic of the skin might indicate chronic diminished blood flow?
What physical characteristic of the skin might indicate chronic diminished blood flow?
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What is a risk factor for PAD that can be controlled through lifestyle changes?
What is a risk factor for PAD that can be controlled through lifestyle changes?
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Which immediate action is necessary upon arrival in the emergency department when using thrombolytic therapy?
Which immediate action is necessary upon arrival in the emergency department when using thrombolytic therapy?
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Why should nitrates not be administered to a patient who has taken a phosphodiesterase inhibitor?
Why should nitrates not be administered to a patient who has taken a phosphodiesterase inhibitor?
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What is the main purpose of giving antiplatelet medication during myocardial infarction?
What is the main purpose of giving antiplatelet medication during myocardial infarction?
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What should be monitored when administering heparin for myocardial infarction?
What should be monitored when administering heparin for myocardial infarction?
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For which type of myocardial infarction is Low Molecular Weight Heparin (LMWH) used for antithrombotic prophylaxis?
For which type of myocardial infarction is Low Molecular Weight Heparin (LMWH) used for antithrombotic prophylaxis?
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Which medication might worsen patient outcomes if given for ischemic pain unrelieved by other therapy?
Which medication might worsen patient outcomes if given for ischemic pain unrelieved by other therapy?
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What action should nurses take when administering Low Molecular Weight Heparin (LMWH)?
What action should nurses take when administering Low Molecular Weight Heparin (LMWH)?
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What guides the administration of oxygen therapy in myocardial infarction?
What guides the administration of oxygen therapy in myocardial infarction?
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What differentiates microvascular angina from other types of anginal pain?
What differentiates microvascular angina from other types of anginal pain?
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Which symptom is considered atypical for women experiencing angina?
Which symptom is considered atypical for women experiencing angina?
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Which diagnostic test is NOT commonly used to diagnose coronary artery disease or anginal causes?
Which diagnostic test is NOT commonly used to diagnose coronary artery disease or anginal causes?
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Which statement best describes 'referred pain' in the context of angina?
Which statement best describes 'referred pain' in the context of angina?
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Which medication class is NOT used for reducing angina?
Which medication class is NOT used for reducing angina?
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What is one recommended lifestyle change to prevent anginal attacks?
What is one recommended lifestyle change to prevent anginal attacks?
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What characteristic is unlikely to describe anginal chest pain?
What characteristic is unlikely to describe anginal chest pain?
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Which method of nitroglycerine administration is intended for acute anginal attacks?
Which method of nitroglycerine administration is intended for acute anginal attacks?
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What is a common reason older adults may experience more medication toxicity during treatment for myocardial infarction?
What is a common reason older adults may experience more medication toxicity during treatment for myocardial infarction?
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What vital sign change would require stopping a patient's activity during myocardial infarction management?
What vital sign change would require stopping a patient's activity during myocardial infarction management?
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Which strategy helps to condition the myocardium and improve activity tolerance in myocardial infarction recovery?
Which strategy helps to condition the myocardium and improve activity tolerance in myocardial infarction recovery?
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Which symptom is typically not associated with acute myocardial infarction in older adults?
Which symptom is typically not associated with acute myocardial infarction in older adults?
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Why should the pace of care be slowed for geriatric patients with myocardial infarction?
Why should the pace of care be slowed for geriatric patients with myocardial infarction?
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What is an expected outcome for a patient with decreased activity tolerance due to myocardial infarction?
What is an expected outcome for a patient with decreased activity tolerance due to myocardial infarction?
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Why is it important to understand whether peripheral vascular disease is arterial or venous in origin?
Why is it important to understand whether peripheral vascular disease is arterial or venous in origin?
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What activity should be cautious to implement progressively for a myocardial infarction patient according to their tolerance?
What activity should be cautious to implement progressively for a myocardial infarction patient according to their tolerance?
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Flashcards
Heart-Healthy Diet
Heart-Healthy Diet
A diet beneficial for reducing plaque in arteries, like the DASH eating plan.
Smoking and CAD Risk
Smoking and CAD Risk
Cigarette smoking increases the risk of coronary artery disease (CAD) proportionately to the number of cigarettes smoked.
HDL Loss from Smoking
HDL Loss from Smoking
Smoking contributes to a decrease in high-density lipoprotein (HDL) levels, which is protective for heart health.
Vasoconstriction Effects
Vasoconstriction Effects
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Thirdhand Smoke
Thirdhand Smoke
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Benefits of Exercise
Benefits of Exercise
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Medications for Lipid Levels
Medications for Lipid Levels
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Familial Hypercholesterolemia Treatment
Familial Hypercholesterolemia Treatment
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Cyclical Angina
Cyclical Angina
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Microvascular Angina
Microvascular Angina
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Referred Pain
Referred Pain
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Atypical Symptoms in Women
Atypical Symptoms in Women
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Diagnostic Tests for CAD
Diagnostic Tests for CAD
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Risk Factors for Angina
Risk Factors for Angina
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Nitroglycerin
Nitroglycerin
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Heart-Healthy Lifestyle
Heart-Healthy Lifestyle
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PCI
PCI
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Thrombolytic Therapy
Thrombolytic Therapy
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Oxygen Requirements
Oxygen Requirements
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Antiplatelet Medication
Antiplatelet Medication
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NTG (Nitroglycerin)
NTG (Nitroglycerin)
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Dual Antiplatelet Therapy
Dual Antiplatelet Therapy
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Heparin
Heparin
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Low Molecular Weight Heparin (LMWH)
Low Molecular Weight Heparin (LMWH)
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Intermittent Claudication
Intermittent Claudication
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Atypical MI Symptoms
Atypical MI Symptoms
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Distal Extremity Ischemia
Distal Extremity Ischemia
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Buerger Disease
Buerger Disease
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Medication Toxicity
Medication Toxicity
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Decreased Activity Tolerance
Decreased Activity Tolerance
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Peripheral Arterial Disorder (PAD)
Peripheral Arterial Disorder (PAD)
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Vital Signs Monitoring
Vital Signs Monitoring
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Nursing Care for PAD
Nursing Care for PAD
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Skin Assessment
Skin Assessment
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Progressive Activity
Progressive Activity
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Foot Care Education
Foot Care Education
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Independence in Care
Independence in Care
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Cardiac Rehabilitation Referral
Cardiac Rehabilitation Referral
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Health Literacy in PAD
Health Literacy in PAD
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Peripheral Vascular Disease (PVD)
Peripheral Vascular Disease (PVD)
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Hyperlipidemia
Hyperlipidemia
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Ineffective Peripheral Tissue Perfusion
Ineffective Peripheral Tissue Perfusion
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Peripheral Pulses
Peripheral Pulses
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Capillary Refill
Capillary Refill
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Aneurysm
Aneurysm
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Abdominal Aortic Aneurysm (AAA)
Abdominal Aortic Aneurysm (AAA)
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Risk Factors for Aneurysm
Risk Factors for Aneurysm
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Elective Repair
Elective Repair
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Study Notes
Atherosclerosis
- Atherosclerosis is the thickening, loss of elasticity, and calcification of arterial walls, occurring with aging.
- It involves plaque formation in arteries.
- Early childhood onset is possible, with progression throughout adulthood.
- Leading cause is coronary heart disease (CHD), also known as coronary artery disease (CAD).
Pathophysiology
- Atherosclerosis is a multistep process affecting the inner lining of arteries.
- Injury to endothelial cells initiates inflammation and immune response.
- Smooth muscle cell growth is stimulated, secreting collagen and fibrous proteins.
- Lipids, platelets, and clotting factors accumulate, forming plaque.
- Plaque buildup narrows arteries (stenosis), potentially leading to complete blockage (occlusion).
- Distal areas can become ischemic.
Etiology
- Risk factors for atherosclerosis are categorized into modifiable and non-modifiable.
- Non-modifiable: Age (men >50, women post-menopause), ethnicity (Black Americans), and genetics (hyperlipidemia).
- Modifiable: Diabetes increases risk of hypertension, obesity, and high blood lipids.
- Hypertension increases myocardial oxygen demand.
- Elevated serum cholesterol (above 200 mg/dL) and high LDL levels are risk factors.
- High homocysteine levels are linked to increased CAD risk. Foods with folic acid can reduce homocysteine level.
- Excessive alcohol use raises blood pressure, increases triglycerides and causes irregular heartbeats.
- Obesity increases risk of hypertension, diabetes, glucose intolerance, and hyperlipidemia.
- Sedentary lifestyle contributes to these risk factors.
- Emotional stress, tobacco use (including secondhand and thirdhand smoke) increases workload and myocardial oxygen demand.
Diagnostic Tests
- Total cholesterol levels above 200 mg/dL increase risk of CAD and MI.
- Elevated LDL and low HDL levels are associated with increased CAD risk; Lp(a) cholesterol is a genetic variation of LDL.
- LDL particle number is an excellent predictor of MI risk.
- High LDL particle number with low LDL levels still creates a high MI risk.
- C-reactive protein (CRP) indicates low-grade inflammation and increased CAD risk.
- Elevated blood glucose increases atherosclerosis risk.
- Radiological studies can show narrowed or occluded vessels.
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Description
This quiz delves into the intricacies of atherosclerosis, covering its definition, pathophysiological processes, and etiology. Understand the risk factors and how plaque forms in arteries, leading to significant health issues. Ideal for anyone studying cardiovascular diseases.