02 - Myocardial Infarction
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Questions and Answers

Which muscular layer of the heart covers the entire heart?

  • Endocardium
  • Pericardium
  • Epicardium (correct)
  • Myocardium
  • Which chamber of the heart propels deoxygenated blood into the pulmonary circulation?

  • Left ventricle
  • Right atrium
  • Right ventricle (correct)
  • Left atrium
  • Which valve is located between the left atrium and left ventricle?

  • Pulmonic valve
  • Tricuspid valve
  • Mitral valve (correct)
  • Aortic valve
  • Which part of the heart's conduction system is known for delayed conduction?

    <p>Atrioventricular node</p> Signup and view all the answers

    What returns blood from the myocardium back to the right atrium?

    <p>Coronary sinus</p> Signup and view all the answers

    Where does the exchange of O2 and CO2 occur between blood and tissues?

    <p>Capillaries</p> Signup and view all the answers

    Which of the following is a symptom of myocardial infarction?

    <p>Severe, persistent chest pain</p> Signup and view all the answers

    Which laboratory finding is indicative of myocardial cell death?

    <p>Elevated myocardial enzymes</p> Signup and view all the answers

    Which medication is commonly administered for myocardial infarction?

    <p>Thrombolytics</p> Signup and view all the answers

    What position is recommended for a patient experiencing myocardial infarction?

    <p>Semi-fowler's position</p> Signup and view all the answers

    What is the primary goal of initial medical management for patients with acute coronary syndrome?

    <p>Minimize myocardial damage</p> Signup and view all the answers

    Which cardiac biomarkers are primarily elevated in the diagnosis of NSTEMI?

    <p>Troponin</p> Signup and view all the answers

    Which intervention is preferred as the initial treatment method for STEMI?

    <p>Emergent Percutaneous Coronary Intervention</p> Signup and view all the answers

    What is the recommended door-to-needle time for administering thrombolytics?

    <p>Within 30 minutes</p> Signup and view all the answers

    Which of the following is NOT a clinical manifestation of unstable angina?

    <p>Elephantiasis</p> Signup and view all the answers

    In the management of acute coronary syndrome, which medication should be introduced within 24 hours for optimal effect?

    <p>Beta-blocker</p> Signup and view all the answers

    During inpatient management of myocardial infarction, which parameter is NOT typically monitored continuously?

    <p>Body temperature</p> Signup and view all the answers

    What characterizes unstable angina in terms of coronary artery obstruction?

    <p>Reduced blood flow without complete blockage</p> Signup and view all the answers

    Which symptom is typically associated with myocardial infarction?

    <p>Severe crushing chest pain</p> Signup and view all the answers

    What is the main event leading to myocardial infarction?

    <p>Complete blockage of a coronary artery</p> Signup and view all the answers

    In which time frame can myocardial cell necrosis occur after artery occlusion?

    <p>Minutes to hours</p> Signup and view all the answers

    Which lab test is crucial in diagnosing myocardial infarction?

    <p>Troponin levels</p> Signup and view all the answers

    What is a common physiological response in patients experiencing myocardial infarction?

    <p>Diaphoresis and cold clammy skin</p> Signup and view all the answers

    What should be included in the patient history assessment for diagnosing cardiac issues?

    <p>Description of presenting symptoms</p> Signup and view all the answers

    Which of the following is NOT a typical assessment finding for myocardial infarction?

    <p>Fainting spells</p> Signup and view all the answers

    Study Notes

    Cardiovascular System

    • The cardiovascular system is responsible for transporting blood throughout the body.
    • The heart is a vital organ in this system, responsible for pumping blood.
    • Different parts of the heart include the right and left ventricles, right and left atria.

    Heart Wall

    • The epicardium covers the entire heart.
    • Other important layers are the myocardium and endocardium.

    Heart Chambers

    • The right ventricle pumps deoxygenated blood into the pulmonary artery.

    Heart Valves

    • The mitral valve is located between the left atrium and left ventricle.

    Conduction System

    • The atrioventricular node is part of the heart's conduction system. It is also called the delayed conduction system.

    Coronary Circulation

    • The coronary sinus returns blood from the myocardium back to the right atrium.

    Vascular System

    • Capillaries are responsible for the exchange of oxygen, carbon dioxide, and other substances between blood and tissues.

    Cardiac Disorders

    • Myocardial infarction (MI) is the death of myocardial cells due to inadequate oxygenation, often caused by a blockage of a coronary artery.
    • Symptoms of MI may include severe, persistent, crushing substernal discomfort radiating to the neck, arm, jaw, and back, occurring without cause, mainly in the early morning; unrelieved by rest and nitroglycerine; and lasting 30 minutes or more. Other symptoms include dyspnea, diaphoresis (sweating), cold clammy skin, nausea, vomiting, restlessness, and hypotension.
    • Diagnosing MI could involve elevated myocardial enzymes (CK-MB, LDH, and Troponin); ECG changes, including ST segment elevation and T wave inversion.

    Nursing Management

    • Nursing management for myocardial infarction (MI) includes administering oxygen as prescribed, administering medications (morphine, thrombolytics, aspirin, anticoagulants, stool softeners), providing bed rest in a semi-Fowler's position, minimizing anxiety, monitoring ECG, instructing the patient to avoid constipation and use of suppositories, assisting with treatment modalities like PTCA and CABG, and minimizing metabolic demands through a soft diet, low-sodium, low-cholesterol, and low-fat diet.

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    Related Documents

    Cardiovascular System PPT PDF
    Acute Coronary Syndrome PDF

    Description

    Explore the key components of the cardiovascular system, including the heart's structure, chambers, and valves. This quiz covers the vital roles of the heart and the vascular system in blood circulation. Test your knowledge on the functions of heart layers and the conduction system.

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