Labs/ Diagnostics
Assesses for muscle damage
Myoglobin
clot buster (class and name of drug)
thrombolytic / altepase TpA
modifiable risk factors for atherosclerosis
excessive alcohol intake, obesity, sedentary lifestyle, emotional stress, tobacco use, DM, HTN, elevated cholesterol
Position for client with PVD?
legs elevated
AMI
Acute myocardial infarction
3 Laboratory values assessed during MI
troponin I
CK-MB
myoglobin
Acronym and drugs used to treat MI
Morphine
Oxygen
Nitroglycerin
Aspirin
Diet encouraged for clients with atherosclerosis
low cholesterol, low sodium, low fat diet
Difference between STEMI and NSTEMI?
STEMI has ST elevation while NSTEMI does not
ACS
Acute coronary syndrome
Diagnostic test to confirm MI
ECG
nursing considerations for digoxin
apical heart rate for 60 seconds, must be greater than 60
Assess blood pressure
Target total cholesterol level with treatment of statins
less than 200
How do you know when an abdominal aortic aneurysm has ruptured?
Sudden, severe chest back or abdominal pain
STEMI
ST-elevated MI
Name of procedure to assess and treat blockages of the heart causing MI
cardiac catheterization/ percutaneous coronary intervention
What is the difference between HDL and LDL
HDL is protective cholesterol, LDL is bad cholesterol. we want HDL high and LDL low
Signs of atypical chest pain
CAD
Coronary Artery Disease
Interventions for client post-percutaneous coronary intervention
lay flat for 4-6 hours,
assess 6 Ps every 15 minutes x4 then every 30 minutes
apply pressure if bleeding and notify MD
Teaching for home nitroglycerin use
keep in original bottle
take one tab SL every 5 minutes x3 doses
Call 911 if first dose does not relieve chest pain after 5 minutes
use caution when touching medication
Carotid endarterectomy
Complications of MI (Name 3)
arrhythmias, cardiogenic shock, heart failure/pulmonary edema, emboli, rupture of muscles and heart valves, pericarditis
AAA
Abdominal Aortic Aneurysm