Angina/ Mi

Front 1

Angia Pectoris results d/t

Back 1

Chest pain d/t ischemia of the myocardium (d/t obx or spasms of the coronary artery)

Front 2

Stable Angia:
Occurs with
Relieved by

Back 2

Occurs with exercise.
Relieved with rest or nitroglycerin.

Front 3

Unstable Angina:
Occurs with

Back 3

Occurs with exercise and/or stress.
Increases in occurence, severity and duration.

Front 4

Variant Angina (Prinzmetal) occurs d/t

Back 4

coronary artery spasms.
unrelated to exercise or stress.

Front 5

Myocardial Infarcrion (MI)

Back 5

rapid progression of myocardial necrosis.
d/t imbalance of O2 supply and myocardial demand.

Front 6

The difference btwn angina and MI is pain....

Back 6

Unrelieved by rest or nitro.
Lasting more than 15 mins.

Front 7

S/s of MI

Back 7

Chest Pain (ant. pericardium - tight, pressure, or squeezing)
Radiates to jaw, neck, arms, back, and epigastrum.
Dyspnea
Nausea w/o vomitting, abdo pain.
Anxiety
Lightheadness with or w/o syncope
cough
sweating (diaphoresis)

Front 8

Cardiac Enzymes:
Creatinine Kinase MB) CK-MB - more sensitive to myocardium

Back 8

Norm: 0% of total CK; 30-170 units/L.
Elevated levels first detectable: 4-6 hrs
duration: 3 days

Front 9

Cardiac Enzymes:
Troponin T

Back 9

Norm: < 0.2 ng/L
First detection: 3-5 hrs.
Duration: 14-21 days

Front 10

Troponin I

Back 10

Norm: < 0.03 ng/L
First Detection: 3 hrs
Duration: 7-10 days

Front 11

Cardiac Enzymes:
Myoglobin

Back 11

norm: <90 mcg/L
First detection: 2 hrs
Duration: 24 hrs

Front 12

Cardiac Enzymes

Back 12

CK-MB
Troponin T
Troponin I
Myoglobin

Front 13

ECG signs of ischemia

Back 13

ST segment ELEVATION and/or T wave inversion

Front 14

ECG signs of injury/necrosis

Back 14

ST segment ELEVATION.
Abnormal Q wave

Front 15

Medication tx:
Nitrates - Reduce preload and symp relief.
SubLingual

Back 15

Nitroglycerin sublingual stat 0.4 mg q 5 mins until pain relieved or x3 doses.

Front 16

Medication tx:
Nitrates-
IV

Back 16

Indicated for reliefe of ongoing ischemic discomfort, control of HTN, or management of pulmonary congestion.

Front 17

Medication tx:
Morphine Sulfate -> vasodilation, reduces preload and O2 consumption.

Back 17

2-4 mg IV stat and prn for adequate pain relief.

Front 18

Medication tx:
Asprin 160 - 325 mg tab

Back 18

Admin immediately if not already taken at home.
Shown to decrease mortality.
Use Plavix if allergic to aspirn.

Front 19

Medication tx:
Thrombolytics - disolve clot causing ischemia/infaction.

Back 19

Administer ASAP after onset of symptoms (w/in first 6 hrs following MI).

Front 20

Other Medication tx

Back 20

Beta blockers
ACE Inhibitors

Front 21

Do not administer Nitrates to clients who have taken ______ for _____ dysfuction with in the last 24 hrs.

Back 21

phosphodisterase inhibitors for erectile dysfunction

Front 22

What to do when chest pain occures

Back 22

stop activity and rest.
Place nitroglycerin table under tongue q 5 mins. If pain is unrelieved after 15 mins, call 911.