AACN PCCN Review: Acute Coronary Syndrome actual exam 2024-2025 questions and accurate answers verified Non-Ischemic Non-Cardiac Causes of Chest Pain a. Panic Attack/Anxiety b. Illicit Drug Use c. Gastrointestinal Disorders d. Spontaneous Pneumothorax e. Pulmonary Embolism f. Pulmonary Hypertension g. Esophageal Rupture h. Costochondritis i. Hypovolemia Unstable Angina Pathophysiology Partially occluding thrombus If it is unstable: We need to assess where they are on the timetable: Ischemia-->Injury -->Infarction Anti-platelet Therapies Aspirin P2Y Platelet Inhibitors: Plavix, Ticagrilor, Effient Glycoprotein IIb InhibitorsUnstable Angina Assessment a. Assessment of Angina: PQRST Assessment P: Pain, Placement, Provocation Q: Quality, Quantity R: Radiation, Relief S: Severity, Systems (nausea, sweaty, dizziness) T: Timing (when it started, how long did it last) b. Medical History c. Medications: Prescription, Over the Counter, Dietary Supplements d. Social History e. Family History f. Major Risk Factors of Atherosclerosis Post Procedural Care: Coronary Artery Bypass Grafting Post Op Care: (for PCCN >48 hr post op care) a. Pain b. Volume Overload c. MI d. Stroke e. Dysrhythmias f. Infection g. Decrease CO h. Impaired Gas Exchange i. Impaired Work of Breathing j. Hypoperfusion ComplicationsGive -blocker b. Once reperfused evaluate myocardial damage and provide post MI care Complications of AMI a. Cardiogenic Shock: