Acute Care Exam 1

Clients with ECG changes suggestive of ischemia, but without the presence of serum biomarkers, are diagnosed as having which coronary event? A. UA B. NSTEMI C. STEMI D. Stable angina - Answer- A. UA Which ECG changes are indicative of an acute MI? (Select all that apply.) A. Hyperacute T waves B. ST segment elevation C. The presence of new left bundle branch block D. The loss of P waves - Answer- A) hyperacute T waves B) ST segment elevation C) the presence of new left bundle branch block Current guideline recommend that an ECG be obtained within how many minutes of the complaint of chest pain? 1 10 30 60 - Answer- 10 What is the first line of drug management for HF? - Answer- ACE inhibitors Then add digoxin Almost a complete pump failure of the heart; can occur after MI, acute HF, etc - Answer- Cardiogenic shock What are the manifestations of cardiogenic shock? - Answer- Hypotension (MAP 65) Weak, thready pulse Acute pulmonary edema Resp distress What do diagnostic tests do we use for cardiogenic shock? - Answer- Cardiac enzymes ECG CT scan Chest x ray Lots of fluid around the heart that compresses the heart (happens during cardiogenic shock) - Answer- Cardiac tamponade Dopamine at low doses does what for the body? (Important) - Answer- Increases renal