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20 Cards in this Set

  • Front
  • Back
Ischemia Definition
Lack of oxygen from inadequate perfusion due to an imbalance between oxygen supply and demand
Ischemic heart disease definition
Cause most frequently by atherosclerosis
May present as silent, chest pain or MI
Angina definition
Discomfort or pain in chest, arm shoulder, back or jaw
Worsened by exertion - relieved by SL NTG
Acute Coronary Syndrome
Unstable Angina
Non ST-segment MI (NSTEMI)
ST-segment MI (STEMI)
Angina Immediate Treatment
Short-acting nitrates
Angina Prevention
Beta blockers
Calcium channel blockers
long-acting nitrates
Angina Antiplatelet
Aspirin or clopidogrel
Unstable Angina/NSTEMI treatment
MONA
Morphine
Oxygen
Nitroglycerin
Aspirin
Unstable Angina/NSTEMI Anti-ischemic therapy
Beta blocker
Nitrates
CCB - 2nd line
ACEI - 2nd line
Unstable Angina/NSTEMI Antiplatelet therapy
Aspirin
Ticlopidine
Unstable Angina/NSTEMI Anticoagulant therapy
Heparin or LMWH with ASA or clopidogrel
STEMI management
MONA
Morphine
Oxygen
Nitrates
Aspirin
Nitrate use in STEMI
Use in first 24 hours if no hypotension, bradycardia or tachycardia
Beta Blockade in STEMI
Early use increases chance of survival
Heparin use in STEMI
Use heparin or LMWH with fibrinolytic
Heparin Mechanism of actions
Enhances action of antithromin III - prevents fibrinogen to fibrin
Heparin Monitoring
aPTT, PT, platelet count, hgb/hct, bleeding
Heparin reversal med
Protamine
LMWH mechanism
inhibits thrombin (factor Xa)
LMWH monitoring
platelets - not aPTT or PT