A 63-year-old man is brought to the emergency departmer substernal chest pain. ECG shows ST-segment elevation in leads V1, V2, and V3, He is taken for urgent coronary angiography, which shows a total occlusion of the mid-left anterior descending artery. A sirolimus-eluting stent is placed in the artery. Which of the following effects of sirolimus is beneficial to this man? A) Blocked cytokine response B) Decreased interleukin synthesis C) Decreased oxidation of inosine-5-monophosphate D) Decreased synthesis of tetrahydrofolic acid E} Reduction of ribonucleotides

A 63-year-old man is brought to the emergency departmer substernal chest pain. ECG shows ST-segment elevation in leads V1, V2, and V3, He is taken for urgent coronary angiography, which shows a total occlusion of the mid-left anterior descending artery. A sirolimus-eluting stent is placed in the artery. Which of the following effects of sirolimus is beneficial to this man? A) Blocked cytokine response B) Decreased interleukin synthesis C) Decreased oxidation of inosine-5-monophosphate D) Decreased synthesis of tetrahydrofolic acid E} Reduction of ribonucleotides

Comprehensive Medical Assisting: Administrative and Clinical Competencies (MindTap Course List)

6th Edition

ISBN:9781305964792

Author:Wilburta Q. Lindh, Carol D. Tamparo, Barbara M. Dahl, Julie Morris, Cindy Correa

Publisher:Wilburta Q. Lindh, Carol D. Tamparo, Barbara M. Dahl, Julie Morris, Cindy Correa

Chapter36: Cardiac Procedures

Section: Chapter Questions

Problem 10CR

See similar textbooks

Similar questions

Mr Jones is a 59-year-old man who was admitted 4 days ago following a motorcycle accident. He sustained a fractured R tibia and fibula. He underwent external fixation of the fracture 3 days ago. This morning he was complaining of some shortness of breath and chest pain. A 12 lead ECG showed non-specific ST segment and T wave changes, vital signs were Pulse: 110, B/P: 100/60, resp: 24, SaO2: 92. V/Q scan indicated pulmonary embolism. Past medical history: type 2 diabetes, peripheral vascular disease and impaired renal function GFR 60ml/min. He smokes 1 pack per day, but says he is going to give it up. Normally does little exercise and weighs 89kg. He has been commenced on Dalteparin 200 U/kg/day. Discuss the rationale for commencing Dalteparin and outline the mechanism of action and nursing care required while on this drug
A 56-year-old woman is brought to the emergency department because of substernal chest pain and profuse perspiration. An ECG shows ST-segment elevation in leads II, Ill, and aVF. Echocardiography shows a severe decrease in motility of the inferior surfaces of the left and right ventricles. Cardiorespiratory arrest occurs, and resuscitation is unsuccessful. At autopsy, a thrombus is most likely to be found in which of the following arterial branches? A)Marginal branch of the left anterior interventricular artery B)Marginal branch of the right coronary artery C) Posterior interventricular branch of the right coronary artery D) Posterior left ventricular branch of the circumflex artery E) Sinoatrial branch of the right coronary artery
Which of the following would be used to identify client's with myocardial infarction 1)Presenting symptoms when seeking care 2)Using a 12- lead ECG to determine changes 3)Getting a hand computerized tomography
1.) What do you call the classic manifestation of Angina Pectoris Cullen's sign O Gray Turner's Sign O Levine's sign Macewen's sign 2.) The usual cause of Prinzmetal Angina * O Coronary Vasopasm Exertional movements Unexpected pain even at rest None of the above A *
1. Mr. Garcia had a myocardial infarction. Explain what happened to his heart muscle and vascular system. What is a STEMII? 2. Mr. Garcia's chest pain resolved after two sublingual NTF at 3-minute intervals and 2 mg of IV morphine. In the cardiac catheterization lab he was "found to have a totally occluded distal right coronary artery and a 70% occlusion in the left circumflex coronary artery. The left anterior descending artery was patent. Angioplasty of the distal right coronary artery resulted in a patent infarct- related artery with near normal flow. A stent was left in place to stabilize the patient and limit infarct size. Left ventricular ejection fraction was normal at 42%, and a posterobasilar scar was present with hypokinesis." a. Explain angioplasty and stent placement. Define occluded occlusion. b. What is the purpose of this medical procedure?
Define the medical condition 'deep vein thrombosis' in terms of the structure formed and common location of thrombus development. Include in your response the vital organ where complications could arise if the thrombus (or a piece of it) breaks away, and briefly outline the seriousness of this complication. Which 3 factors (3 broad categories or circumstances) could contribute to venous thrombosis development?
Explaine the meaning of the 'atherosclerosis ' and its significance in coronary artery disease. ANSWER SHOULD INCLUDE: Accurate comprehensive definition of the term ' atherosclerosis' and its significance in coronary artery disease
Mr Pepper is an inpatient at the local hospital and is walking back in after going out for a cigarette. You notice he is a pale/grey colour, slightly diaphoretic, is holding the side rail to balance himself, he states he has chest pain. Mr Pepper requires a comprehensive cardiac assessment Explain what the top 6 priorities are for Mr Pepper at this point in time. (easy and simple) - vital signs - PQRST pain assessment - Bloods (troponin) - ECG - MRI - Listen for heart and lung sounds - signs of bruising and bloods - auscultation - palpation - physical: looking at patients colour
20) Female,40years old. Ventricular septal defect was found for 38 years and persistent fever since the tooth extraction 3 months ago. Physical examination: temperature:37.6°c, petechiae on the skin, systolic murmur can be heard in the aortic valve auscultation area, and eniarged spleen. What is the most likely clinical diagnosis for this patient? A Myocarditis B Pericarditis C Left heart failure D Infective endocarditis E None of the above
21) Female,35 years old. She came to the clinic because of persistent precordial pain for 2 days. Physical examination: frictional sounds can be heard in the fourth rib space on the left side of the sternum,which can still be heard after holding the breath. The ECG suggests bow-dorsal downward elevation of the ST seament in the conventionai leads. What is her most likely clinical diagnosis? A Acute myocardial infarction() B Variant angina C Acute pleurisy D Acute pericarditis E Acute pulmonary embolism
Amir Yazdani is being assessed in the orthopaedic preadmission clinic 6 weeks prior to a knee arthroplasty. He asks to donate some of his own blood to ensure he doesn't receive a transfusion from a stranger. How would you respond to Amir's request? Explain to Amir that there is no chance he will require a blood transfusion, so predeposit autologous donation is not indicated in his specific situation Explain to Amir that predeposit autologous donation is only recommended for patients that are likely to refuse a transfusion and discuss if he would be willing to accept donated blood Explain to Amir why predeposit autologous donation is not recommended, including that it may increase the chance of him requiring a transfusion, and that it does not reduce all the risks associated with transfusion Predeposit autologous donation is an excellent strategy to reduce the risks associated with transfusion. Provide Amir with a referral to enable him to have his blood collected one month prior to…
Label the Blood Vessels abel Veins carry what kind of blood? Arteries carry what kind of blood? 83 Word Bank: 36 Y M RECIONAL 1. Away from the heart 2. Veins 3. Capillary Network 4. Arteries 5. Outer Layer 6. Waste Products 7. Venules 8. Towards the heart 9. Tissue Cells 10. Middle Layer 11. Arterioles 12. Oxygen and Nutrients 13. Inner Layer 0232 ESR Lavender SARH HEMA below writehe cemec the cortectloct