ANSWERS RATED A+
✔✔vardenafil (Levitra) - ✔✔Hold nitro if the patient has had this medication within the
past 24 hours.
✔✔24 - ✔✔Hold nitro if the patient has had vardenafil (Levitra) within the past _____
hours as it may cause an unsafe drop in blood pressure.
✔✔sildenafil (Viagra) - ✔✔Hold nitor if the patient has had this medication within the
past 48 hours as it may cause an unsafe drop in blood pressure.
✔✔48 - ✔✔Hold nitro if the patient has had sildenafil (Viagra) within the past _____
hour as it may cause an unsafe drop in blood pressure.
✔✔10, 30 - ✔✔IV nitro does not improve survivability in acute coronary syndrome, but it
can be titrated, limit the drop to _____ percent of SBP or no more than _____ percent
below baseline.
✔✔morphine - ✔✔This is used in acute coronary syndrome to relieve pain not relieved
by nitroglycerin.
✔✔morphine - ✔✔This increases mortality in an NSTEMI and may decrease the
absorption of antiplatelet drugs.
✔✔STEMI - ✔✔This must be present in two or more contiguous leads or show with a
new left bundle branch block.
✔✔contiguous - ✔✔To be a true STEMI, there must be ST elevation in at least two
_____ leads or a new left bundle branch block.
✔✔left bundle branch block - ✔✔This shows as a wide QRS in lead V1 and V6.
✔✔J point elevation - ✔✔This is a sign of a STEMI if it is greater than 2 mm.
✔✔2 - ✔✔J point elevation is a sign of a STEMI if it is greater than _____ mm.
✔✔high risk NSTEMI - ✔✔This is characterized ST depression greater than 0.5 mm or
T-wave inversion with pain and discomfort.
✔✔120 - ✔✔If your hospital does not have a cath lab, the goal to reperfusion is _____
minutes rather than 90 minutes. But the door-to-door time should be 30 minutes.
, ✔✔30 - ✔✔If your hospital does not have a cath lab, the goal to reperfusion is 120
minutes, but the door-to-door time should be _____ minutes.
✔✔12 - ✔✔In a STEMI, reperfusion either with fibrinolytics or a cath is indicated if the
patient presents within _____ hours of the onset of pain.
✔✔fibrinolytics - ✔✔In acute coronary syndrome, these are indicated for ST elevation
greater than 2 mm in leads V1 and V3 and greater than 1 mm in all other leads or a new
LBBB if the cath lab is not available in 90 minutes and the patient presents within 12
hours of the onset of pain.
✔✔45 - ✔✔In an acute CVA, the goal for CT interpretation is _____ minutes.
✔✔90 - ✔✔In an acute CVA, the goal from door to device time is _____ minutes.
✔✔3 - ✔✔In an acute CVA, the goal from door to admission is _____ hours.
✔✔10 - ✔✔In an acute CVA, the goal for immediate general assessment is _____
minutes.
✔✔10 - ✔✔In an acute CVA, the goal for the patient to get to CT is _____ minutes.
✔✔20 - ✔✔In an acute CVA, the goal for the patient to get a neurological assessment is
_____ minutes.
✔✔60 - ✔✔In an acute CVA, the goal from door to fibrinolytics is _____ minutes.
✔✔3, 4.5 - ✔✔In an acute CVA, fibrinolytics must be administered within _____ hours
or _____ hours on select patients from the onset of symptoms.
✔✔24 - ✔✔In an acute CVA, endovascular therapy for large vessel occlusion must be
completed within _____ hours.
✔✔75, 100 - ✔✔In an acute CVA, give NS at _____ to _____ ml/hour intravascular
volume if needed.
✔✔180 - ✔✔In an acute CVA, give insulin for a blood glucose greater than _____.
✔✔185 - ✔✔If fibrinolytics are given in an acute CVA, keep the systolic blood pressure
at or below _____.
✔✔110 - ✔✔If fibrinolytics are given in an acute CVA, keep the diastolic blood pressure
at or below _____.