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