Medical Master

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Medical Master

• Angina
• Stable Myocardial Infarction

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Anatomy Physiology Review
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Coronary Blood Flow
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(No Transcript)
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Myocardial Infarction
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Myocardial Infarction

• http//info.med.yale.edu/intmed/cardio/imaging/fin
  dings/coronary_stenosis/index.html

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Gross Appearance of an Ischemic Clot
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Picture of an MI
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Picture of an MI with rupture
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Complications

• Dysrythmias
• Pump Failure
• Cardiogenic Shock
• Infart Extension
• Pericarditis

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Examples

• http//content.nejm.org/cgi/content/full/349/1/e1/
  DC1

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Clinical Manifestations

• Pain
• Sympathetic Response
• Women-Indigestion, Nausea, Vomiting
• 25-No Chest Discomfort
• http//www.nhlbi.nih.gov/actintime/

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Diagnosis of an MI

• Cardiac Enzymes
• CBC
• ESR
• ABGs
• ECG
• Echocardiography
• Catherization

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Diagnosis of an MI

• http//content.nejm.org/cgi/content/full/349/1/e1/
  DC1

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Treatment

• Thrombolytic Therapy
• Analgesia
• Antidysrhythmics
• Others (Beta Blockers)
• Medical Management
• Surgical Treatment (page 821)
• on pump CABG
• Off pump CABG
• robotics

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Complementary Therapies

• Diet
• Exercise
• Low-Fat Diet rich in Antioxidants.
• Vitamin Supplements
• Behavioral Therapies
• http//www-medlib.med.utah.edu/WebPath/CVHTML/CV01
  7.html
• http//www-medlib.med.utah.edu/WebPath/CVHTML/CV11
  4.html

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Nursing Care

• Education
• Assessment

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Risk Factors

• Smoking
• Diet
• Exercise
• Hypertension
• Diabetes

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Nursing Diagnoses

• List 3 Nursing Diagnoses related to a patient
  with a myocardial infarction.

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Home Care

• Rehabilitation
• Education

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Angina

• Definition
• Pathophysiology

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Types

• Stable Angina

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Clinical Manifestations

• Pain
• Pallor
• Tachypnea
• Dyspnea
• Anxiety

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Diagnosis

• Pain
• History
• Lab Tests
• Diagnostic Tests

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Treatment

• Medications
• Revascularization

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Nursing Diagnoses

• List 3 Nursing Diagnoses with an Angina patient

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Home Care

• Education
• Medications
• Rehabilitation