Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
10 Cards in this Set
- Front
- Back
The 3 types of ACS.
|
Unstable Angina and Myocardial Infarction (NSTEMI/STEMI)
|
|
What determines the vulnerability of plaque rupture?
|
thickness of the fibrous cap
|
|
What is the mechanism that causes ACS?
|
Plaque rupture followed by thrombotic occlusion either partial or completely. Severity of the occlusion will determine which of the 3 distinctions is present.
|
|
Why is morphine problematic in ACS?
|
Pain relief but may mask symptoms necessary for proper treatment.
|
|
True/False - Clopdogrel & ASA help reduce mortality rates in ACS.
|
True
|
|
Which class of Lipid lowering drug is now routinely prescribed during discharge even with no evidence of high LDL?
|
Statins
|
|
What are the Discharge ABCs?
|
Aspirin: Anticoagulants
Beta blockers: Blood Pressure Cholesterol: Cigarettes Diet: Diabetes Education: Exercise |
|
TRUE/FALSE - With STEMI, the time of reperfusion from door to ballon after symptom onset is of paramount importance.
|
True - post 2 hours has increased mortality
|
|
In deciding between Fibrinolysis and PCI in regards to time, what should be considered?
|
if Door-to-balloon time is > than 90 minutes OR if PCI will be > 1 hour versus fibrinolysis (fibrin-specific agent) now THEN CHOOSE FIBRINOLYSIS!
|
|
Name some contraindications to Fibrinolytic use in STEMI.
|
Active hemmorage, previous ICH, previous stroke in last 3 months, suspected aortic dissection
|