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Test focus for ACS


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									                            Acute Coronary Syndromes
                              Test Focus * NUR 200

Lecture 1:
    Understand cardiac physiology
    Focused cardiac assessment – know where to auscultate and normal heart
    Components of the EKG tracing and how to measure: Rate, PR interval,
      QRS, QT interval – coincide the waveforms with the cardiac cycle
    Know what is meant by preload, afterload and cardiac output – drugs that
      affect each

Lecture 2:
    Know the acute coronary syndromes – symptoms, pathophysiology
    What interventions are used in acute MI
    What diagnostics are done and why
    Which part of the heart is perfused by each of the coronary arteries, what
      arrhythmias would result from blockage of each
    Post-op care and patient education for bypass graft surgery

Lecture 3:
    The pathophysiology of bradycardia
    Be able to identify: sinus bradycardia, 1st degree AV block, 2nd degree
      Mobitz I & II, 3rd degree AV block, atrial fibrillation, atrial flutter.
    Which rhythms or symptoms would require a pacemaker
    Post-op care and patient education for pacemaker
    Lethal arrhythmias: PEA and Asystole and how you would intervene
    Aortic aneurysm – symptoms, intervention – maybe 1 question
    Acute Claudication – symptoms

Lecture 4:
    The pathophysiology of tachycardia
    Be able to identify: supraventricular tachycardia, ventricular tachycardia
      and ventricular fibrillation
    Treatment for each rhythm, including medications
    Cardiogenic shock – pathophysiology, symptoms and interventions

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