the quickest way to assess good perfusion - Answers cap refill
What is acute coronary syndrome? - Answers blood supply to heart is SUDDENLY BLOCKED by
thrombus
First sign of ACS? - Answers chest pain
First action for coronary issues? - Answers sit down and take nitroglyceirn
What med no take with nitroglycerin? - Answers Viagra ->> drops BP
sexually enhaving drugs
Which artery blockage is known as a widowmaker? - Answers Left anterior descending (LAD)
ischemia - Answers starved of oxygen
infarct - Answers tissue DEATH
ECG readings of NON STEMI (ischemia) - Answers T wave inverted
ST segment depressed
What lab shows heart issue? - Answers Troponin (heart issues)
CKMB (general msucle breakdown )
Myoglobin(nonspecififc)
Prior MIs cause what changed with ECG? - Answers scarring causes irregular with ECG
Why 2 groups have different MI symptoms? - Answers 1. women
2. diabetes
Signs of MI in diabetics - Answers 1. fatigue (epigastric pain/ heartburn)
2. shoulder blade pain
Common cues of MI - Answers 1. palpitations
2. diaphoresis
3. anxiety
4. nausea
Analyze cues of MI signs? - Answers 1. FINISH THIS
PRIORITY intervention of ACS/ report of chest pain ?? - Answers 12 lead ECG
- ST depression and/ or T wave inversion indicated ISCHMIC issues
----->>> STEMI v NONSTEMI tx. door to tx time 10 mins LABS 1. CMK 2. Tropinin I and T 3. Myoglobin
Gold standard lab for MI? - Answers troponin
What other population ahs always elevated troponin? - Answers troponin always mildly elevated for
ESRF or renal failure
Post catheterization procedure? - Answers 1. VS
2. Assess for bleeding/ hematoma
3. Neuro check
- Q15 * 4
- 30 min * 2
- 1 hr * 4
-Q4 gr
4. Bed rest with supine position with extremity STRAIGHT
ER nurse responsibility for cath lab - Answers 1. Oxygen
2. 2 large bore (18-20) IVs
3. Aspirin (chewy) 4 tabs of 80 mg
- check how much pt took at home & given by paramedics
4. beta blocker (lower contractility )
- Metoprolol (Lopressor)
5. Nitroglycerin for pain
- check BP of giving with -lol
6. 500p unites heparin
7. sometime give plavix
Ideal door to save time from MI to cath lab with stent - Answers 90 mins
2 common complications of cardiac cath? - Answers 1. bleeding