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20 Cards in this Set
- Front
- Back
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When Cells are damage ? is released this results in Peaked ? waves.
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K+,
T-waves |
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ECG Change we may see in Acute CAD/MI:
? segment elevation > ?mm in ? or more contiguous ecg leads. This may be a large ? requiring rapid ? |
ST,
>1mm, 2 occlusion, reperfusion |
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Tissue perfusion interventions for Acute CAD/MI includes the use of ?s that dissolve thrombi. Indications for their use are STEMI onset ≤ ? hrs,
Early tx is ?, Side effect is ?, contraindications recent major ? or ? Don't give if SBP>? or if DBP > ?, if pt has ⬆︎BP we should ? it first. |
Fibrinolytics,
≤ 12hrs, optimal, bleeding, bleeding, pregnancy, SBP>180, or DBP >110, TX |
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Examples of Fibrinolytic meds are ?, ?, ? (end in ase).
We should start an ? and draw ? before TPA is given. |
rtPA(Activase),
retelplase(Retavase), tenecteplase(TNKase), IV, Blood |
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Reperfusion therapy/PCI is superior to ?s if performed by ? providers. There are ? facilities in MI. Reperfusion is prefered if the pt has ? or ? Precautions include if the pt has an allergy to ? the surgery will still be performed but pre tx using ? must be given. Precautions include pts that are taking ? have ? impairment, or are using ?s
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fibrinolytics, skilled,
40, HF, Cardiogenic shock, Contrast dye, meds(mucomyst), metformin, renal, anticoags |
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Initial Tx for Acute Coronary Artery Disease/MI is call ?, give ASA at ?-?mg, Give ? SL at ?mg every ?-?min x ?, obtain an ? ASAP, Take a focused ?&? if able, draw blood to check ? biomarkers.
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911/EMS,
162-325mg, 0.4mg, 3-5min, 3, EKG, H&P, Cardiac |
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Tissue Perfusion interventions for Anti-Ischemic therapy: Pt should be on ? getting 02 if Sp02 is < ?%,
Give the pt ? SL, within 24 hrs pt should be put on ?s, ?s, ?s or ?s if BP is ok. |
bedrest, <94%,
Nitroglycerin, Beta-Blockers, Calcium Channel Blockers, ACEs or ARBs |
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Tissue perfusion interventions ADJUNCT THERAPY:
Nitroglycerin infusion for ?, ?, or pulmonary ? this med should be titrated to ? The parameters are SBP must be >?mmhg. Limit the BP drop to ? mmHg if pt is Hypertensive. Nomotensive is ?% of the baseline. |
CP, HTN, edema,
response, 90mmHg, 30mmHg, 10% |
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Antiplatelet agent for Tissue perfusion interventions:
ASA at ?-? mg. ?,?,? reduce ? aggregation via a different mechanism than ASA. They will get a ? dose. Use caution with pts that are > ? yrs old. Monitor for ? and ? a PTT < ? is bad. |
162-325mg,
Plavix, Effient, Brilinta, loading, >75yrs old, bleeding, HIT(Heparin Induced Thrombocytopenia, 100,000 |
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Antiplatelet agents that inhibit platelets differently than ASA and Plavix are Glycoprotein(GP) ?/? inhibitors. These meds can be used for ? and ? don't use if the pt is not having a PCI. These meds are ?, ?, ?
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IIb/IIIa,
UA/NSTEMI, integrillin, ReoPro, Aggrastat |
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For tissue perfusion and Anticoagulants the pt will be put on a ? infusion, it indirectly inhibits ? The pt will be given a bolus of ? units IV then infusion at ? units/hr, to maintain aPTT at ?-? seconds. Other options include Enoxaparin/?, or ? & ? for a pt with Hx of HIT.
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Heparin, thrombin,
4000units, 1000units/hr, 50-70 sec, lovenox, angiomax, arixtra |
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Nursing DX: Acute ?, Ineffective ? perfusion(cardiopulmonary), Ineffective ?, Activity ?, RC ?s, RC ?, RC recurrent chest ? and extension of injury
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Pain,
Tissue, Coping, Intolerance, Dysrythmias, HF, pain |
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Nursing DX: Ineffective Coping r/t effects of acute ?, major changes in ? and/or loss of control over body part. Outcome: Pt will indicate a reduction in ? and recognize the beginning of ? over life. General Interventions: Assess level of ?, Allow expression of ?s,
Repeat explanations in simple ?s, Use prescribed ? |
illness, lifestyle,
anxiety, control, anxiety, feelings, terms, anxiolytic |
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Ineffective coping signs are ?, ?, ?
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Denial,
Anger, Depression |
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If the pt avoids discussing what happened, may or may not comply with Tx this is ? The nurse should remain ?, avoid ?, while indicating that this is ? behavior.
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Denial,
Calm, threats, harmful |
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A pt may express ? in order to try and regain control.
The RN should allow ?, allow opportunities to make ?s |
Anger,
Verbalization, Decisions |
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A grief response by a pt would be seen as ? The RN should ?, don't give false ?s, encourage ?s, and use ? to let pt know about their Dx.
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Depression,
listen, reassurances, ADL's, teaching |
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If the pt has a Nursing Dx of Activity Intolerance the planned cardiac rehab would go like this: Phase 1-Hospitalization where the pt gets ? and ? therapy that is supervised towards ? ambulation. Phase 2- Convalesced to outpatient cardiac ? Phase 3- Long term condition that is performed ?
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Nursing, Physical, progressive,
rehab independently |
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RC Heart Failure: Pt may get meds such as ?, ?, ?, may be put on a ? for up to 48hrs.
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Beta-Blockers,
Inotropes, ACES/ARBS, balloon pump |
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RC: Recurrent Symptoms and extension of injury:
Modifiable Risk Factors: ? cessation, ? diet, use of ? drugs to lower cholesterol, increase ? regimen, and they may have to reduce ? activity. |
Smoking, Cardiac,
Statin, Exercises, Sexual |
