STEMI
Chest pain, worsened with activity, lasting more than 5 minutes, accompanied by shortness of breath, nausea, or diaphoresis
What is typical angina?
This is the initial pharmacologic treatment strategy for conservative or invasive NSTEMI patients
What is ASA and/or clopidogrel + Anticoagulant (UFH or LMWH)
Patient must lay flat for 3 hours after this procedure
What is a femoral approach heart catheterization?
Patients presenting with s/s of ACS should chew this medication prior to hospital arrival
What is aspirin (324mg)?
In treating STEMI, this drug is contraindicated to recent (<24h) sildenafil or vardenafil usage.
What is NTG?
This treatment strategy when no PCI is available within 90 minutes
What are thrombolytics?
A patient who presents with angina and a low risk score should be treated with this treatment strategy
What is conservative treatment therapy
If you notice a hematoma OR hear a bruit at the radial or femoral cath site, you may benefit in ordering this imaging study
What is an ultrasound
This drug takes 2 to 5 days to take full effect
What is clopidogrel?
When does Discharge Planning begin?
On Admission
120 mins if transferred in from outside facility or 90 mins in-house
What is “door-to-balloon” time?
Left mainstem disease, 3-Vessel CAD, and 2-Vessel CAD w/ proximal proximal LAD are amenable to this procedure
What is a CABG?
A patient who received a drug eluting stent should receive this therapy.
What is dual anti-platelet therapy
These are the loading and maintenance doses for clopidogrel
What is 300mg one time and 75 mg/daily
ST elevations in II, III, and AVF represent this type of STEMI
What is inferior wall STEMI?
Persistent ST elevation ≥ 1mm in 2 contiguous leads or new LBBB pattern with symptoms of an MI
What is diagnostic criteria for STEMI?
History, ECG, Age, Risk Factors, Troponin are all factors in this Score assessing Cardiopulmonary Risk
What is HEART score?
This is the typical protocol for IV Fluids pre and post catheterization
What is 75 cc/hr for 6 hrs before and 6 hours after
What is the optimal lifelong ASA dose once dual therapy with clopidogrel after PCI with stent implantation is completed?
What is Aspirin 81 mg?
What is the difference between STEMI and NSTEMI?
Both have cardiac enzyme elevation, but NSTEMI does not have EKG changes (no ST elevation)
This is the pneumonic for the initial treatment strategy for patients with STEMI
What is MONA (Morphine, O2, NTG, ASA)?
How long does the ED have to do an EKG on an AMI patient?
Within 10 minutes of arrival
This is the rate of air removed to properly deflate a TR band
What is 3 mmHg/15 min?
Nitrates may be contraindicated in this type of STEMI
What is Right Ventricular STEMI?
ST elevations in V1 - V4 represent this type of STEMI
What is an Anterior wall MI