A&P
Medications
Diagnostics
Nursing Interventions
Medical Interventions
The 12 Lead
100

A group of life threatening conditions that caused by sudden reduced blood flow to the myocardium when an artery becomes partially or totally blocked

What is Acute Coronary Syndrome

100

Medication that dilates the coronary arteries to relieve chest pain

What is nitro

100

This lab value is the gold standard in diagnosing ACS

What is the troponin

100

The RN should order this protocol when a patient is displaying signs and symptoms of ACS

What is the Chest Pain Nursing Per Protocol

100

The staff in this unit are required to be ready within 30 minutes of receiving a STEMI alert

Cath Lab

100

Leads v1-v2 look at this part of the heart

What is the septum

200
This is the most common cause of ACS

What is plague rupture and clot formation

200

This class of medications reduces myocardial oxygen demand by reducing a patient's heart rate

What are beta blockers

200

Since the widespread adoption of this lab test, more people are being diagnosed with NSTEMI versus Unstable Angina

What is the high sensitivity troponin

200

The Chest Pain Nursing Per Protocol was created so that RNs could obtain this within 10 minutes of onset/report of symptoms of ACS

12 Lead ECG 

200

This intervention opens up a clogged artery

What is Percutaneous Coronary Intervention
200

This artery supplies blood to the inferior wall of the heart

What is the RCA

300
These are risks factors that are beyond a person's ability to control 

What are non-modifiable risk factors

300

Patients with ACS are placed on an IV infusion of this medication to prevent new clots from forming.

What is Heparin

300

This test provides an estimate of a patients ejection fraction and also detects any wall motion abnormalities in the ventricles

What is an ecocardiogram

300
This assessment should be completed when a patient is displaying signs and symptoms of ACS

What is a chest pain assessment

300

A drug coating forms around this type of stent to prevent clots from forming in the stent

What is a drug eluting stent (DES)?
300

These leads look at the inferior wall of the heart

What are leads II, III, and AVF

400
Smoking, poor diet, lack of exercise are all considered this type of risk factor for ACS

What are modifiable risk factors

400

Patients are loaded with this class of medications prior to going to the cath lab

What are anti-platelet medications

400

This test requires a person to walk on a treadmill

What is an exercise stress test

400

This device, used to provide hemostasis after a patient's radial artery is accessed during the cardiac cath, can be removed by RNs after completing the competency validation.

What is a tr band

400

Patients who are found to have multi-vessel disease are often referred for this consult.

What is CT surgery

400

The artery that provides blood to the anterior wall of the heart

What is the LAD
500
A rare cause of ACS that occurs primarily in women

What is Spontaneous Coronary Artery Dissection

500

When giving this pain medication in combination with nitro for chest pain, the RN must closely monitor the patient's blood pressure.

What is morphine

500

This test involves injecting medication into the patient to stress the heart

What is a nuclear stress test or what is a dobutamine stress test

500

When a patient is complaining of signs and symptoms of ACS, in addition to obtaining a 12 Lead ECG and performing a chest pain assessment, the RN should perform this assessment.

What is a focused cardiovascular assessment
500

Patients whose cardiac conduction system is damaged as a result of an MI will often have this device placed prior to discharge from the hospital

What is a pacemaker

500

The leads that are used to perform a posterior 12-Lead ECG

What are leads V7, V8, V9

600

People who are elderly or diabetic may present with these types of symptoms

What are atypical symptoms

600

These classes (2) of medications reduce the workload of the left ventricle by providing afterload reduction.

What are ACEs and ARBs

600
Because it is not cardiac specific, this lab is no longer widely used to diagnose ACS. 

What is the CK-MB

600

This is one of the most important interventions the RN can provide that can result in improved patient outcomes and reduced 30-day readmission rates.

What is patient education

600

A referral to this program is provided upon discharge to all patients with a diagnosis of ACS

What is cardiac rehab

600

A STEMI is only diagnosed when there are ST elevations in a last two _____ leads

What is Contiguous 

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