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Oxygen therapy First 2L NC.
EKG monitoring to show where injury is.
Establish IV access.
Regular VS including Pain Assessment.
Med management [more on other slide].
Bed Rest.
Reassurance.
What is Percutaneous Coronary Intervention (PCI)?
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, When there is a blockage in the artery [when we see a STEMI], this is the fix
to the blockage by opening the vessel.
Could be a Balloon that pushes the blockage to the side of the artery
and/or put in a stent to open the blockage
How do we store nitroglycerine pills?
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Keep it airtight, light resistant bottle.
Inexpensive but needs to be replaced frequently, good for only 6-9
months.
MI treatment options are?
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#1 Cardiac Catheterization with Percutaneous Coronary Intervention
[Cardiac Cath with a PCI].
Fibrinolytic Therapy [TPA] will break up the clot, also used for stroke.
Coronary Artery Bypass Graft [CABG].
What are some antiplatelet medicines and how often are they taken?
do these have an antidote?
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, Clopidogrel [Plavix]-once a day and now generic.
Prasugrel [Effient]-once a day.
Ticagrelo [Brilinta]-twice a day.
None of these have antidotes, up to the doctor which one they will choose.
What is the time from door to balloon with PCI?
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90 minutes
What is nursing care for MI?
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Rest and de-stress!
Cardiac monitor, vital signs.
NTG PRN for angina.
Oxygen.
Teach s/s of angina, how to take NTG, lifestyle changes.
Cardiac rehabilitation.
Administering nitroglycerine SL rules are?
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