Caring with a Patient with Chest Pain : Nursing Course


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OR REVIEW THE FOLLOWING NURSING CLASS KNOWLEDGE BLOCKS


A medical procedure in which a catheter is inserted into a vessel so the doctor can diagnose and treat heart conditions is:

cardiac catheterization

Rationale: Cardiac catheterization is a medical procedure used to diagnose and treat some heart conditions. When a patient presents with cardiac symptoms, the doctor may chose to take them to the cath lab to perform a cardiac catheterization. During the procedure, a catheter is inserted into a blood vessel in the arm, groin, or neck and is threaded to the heart. Through the catheter, there is a camera in which the doctor can do a visual inspection of the heart and coronary arteries. The doctor can also do diagnostic tests and treatments on the heart when necessary.


A medication that reduces mortality rates for patients that are suffering from chest pain by inhibiting the action of platelets is:

aspirin

Rationale: Aspirin is an effective therapy in patients with acute myocardial infarction. Aspirin reduces the stickiness of platelets, which are the tiny particles in the blood that trigger the blood to clot. Platelets that become stuck on to a patch of atheroma inside an artery can go on to form a clot, resulting in a myocardial infarction. Aspirin helps to slow the blood clotting process, which can drastically reduce the mortality rates of patients suffering from a heart attack.


Chest pain that occurs if an area of heart muscle is not getting enough oxygen, but without permanent muscle damage is:

angina

Rationale:

Muscle damage to the heart because of a lack of blood flow is a:

myocardial infarction

Rationale:

Prior to administering nitroglycerin to a patient for chest pain, be sure to check their:

blood pressure

Rationale:

The most common sign of a heart attack is:

chest pain

Rationale:

The most immediate diagnostic tool to diagnose a myocardial infarction is:

EKG

Rationale:

To help prevent blockages in the coronary arteries after an angioplasty, the doctor may insert a:

stent

Rationale:

When blockage is present during a cardiac catheterization, the doctor may open the narrow pathways by performing a:

coronary angioplasty

Rationale:

When caring for a patient with chest pain, remember the basic steps of care through the mnemonic:

MONA

Rationale:

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