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22 Cards in this Set
- Front
- Back
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Shoulder pain, chest pain, pressure, tightness, or discomfort with PREDICTABLE onset is ? This is tx with sublingual ?
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Angina,
Nitroglycerin |
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Shoulder pain, chest pain, pressure, tightness, or discomfort while at rest, or with minimal activity or prolonged pain is ? or more frequent than regular angina.
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unstable angina
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In a non-STEMI there is heart damage b/c the myocardium has been without ?
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O2
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In an STEMI there is ? of the muscle. Both NSTEMI and STEMI can lead to an ? death
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Death,
arrythmia |
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There are 4 different Acute Coronary Syndromes:
?, ?, ?, ? |
Angina,
Unstable Angina, NSTEMI, STEMI |
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Pathophysiology of CAD: Endothelial ?➙? streak formation, ➙ thickening of the ? wall ➙ formation of a ? cap over a ? core which can have two pathways ➙
? plaque➙Increased ? ➙ ? or ? plaque➙plaque ? ➙ ? coronary syndrome. |
injury, fatty, arterial,
fibrous, lipid, stable, growth, stenosis, unstable, rupture, Acute |
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MI S/S can be
1. sudden ? pain that stops you in your tracks. 2. gradually ? pain over several hrs. 3. ? symptoms over hrs or days including restlessness and ? |
severe,
increasing, mild, angina |
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Nonmodifiable Risk Factors for CAD ?, ?, ?, ?
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Race,
Age, Sex, Heredity |
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Modifiable Risk factors for CAD, ?,?,?,?,?,?
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Tobacco,
Diet, Physical inactivity, Obesity, Psychological, ETOH |
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S/S of CAD ?, ?, ?, ?, ?
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Chest pain,
Dyspnea, Fatigue, Neck pain, Jaw pain |
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CAD community response is there a ? available, call ?, give pt ?-? mg of ASA(NO COATED ASA) watch for ? or ? bleed with ASA. The pt should be given ? and have a ? ekg performed to monitor ? segment for elevation.
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AED,911,
162-325mg, allergy, GI, 02, 12 lead, ST |
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The acronym for Acute Coronary Syndrom/MI pain intervention is M-O-N-A this not the order they are performed in though.
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Morphine,
02, Nitroglycerin, ASA |
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Acute Pain interventions: Get a ? of the pain if able,
take ? signs, ?/?/? lead ekg, Support the ?s |
description,
VS, Monitor/Defibrilator/ 12 lead, ABC's |
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Acute pain interventions for Acute CAD: Give ? if no true ?s or recent ? Have the pt ? the tablet this meds rapid ? effect reduces occlusion & re-occlusion.
MONA |
ASA,
allergy, bleeding, CHEW, antiplatelet |
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Acute pain interventions for Acute CAD: Give the pt ? to improve oxygenation if the Sp02 is < ?% at ? L/min, monitor the pt for ? if they have a hx of lung disease or if ? is known or suspected.
MONA |
02,
<94%, 4L, hypventilation, COPD |
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Acute pain interventions for Acute CAD: Give the pt ? to dilate coronary arteries, and as an ? for ischemic CP. The dose is 1 tab ?mg sl every ?-?min x ? until pain relief or hypotension. It can be converted to continous ? if chest discomfort is ongoing or to ↓ ? or ? congestion.
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Nitroglycerin,
Analgesic, O.4mg, 3-5min, 3, IV, hypertension, pulmonary |
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Nitroglycerin is contraindicated if SBP is <?mmHg, HR is <? bpm or >? bpm.
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90mmHg,
<50bpm, >100bpm |
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If the pt has had phosphodiesterase meds also known as ? meds such as ?,?,? in the last 24 hrs don't give Nitro.
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Boner,
Viagra, Levitra, Cialis |
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No Nitro for a pt with ? MI and use caution in a pt with ? MI
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RV,
inferior |
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When administering Morphine sulfate watch for ?, ? The dosing is ?-? mg IV every ?-? min up to ? mg can be used. Morphing Sulfate is contraindicated for pts with ? or ?
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Respiratory depression, N/V,
2-4mg, 5-15min, 8mg, hypotension, hypovolemia |
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Quality Emergency center care for Acute CAD: time to perfusion goal is < ? min. A hospital that doesn't have a cath lab will use ?s to break the clot. Hospital with a cath lab will use Percutaneous coronary ? to remove the clot.
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<90min,
fibrinolytics, intervention |
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Quality Emergency center care for Acute CAD: Assessment in the ED should include a targeted ? & ?, ? work, ?X-ray and adjunctive ?
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History & Physical,
blood work, Chest XR, Therapy |
