Definitions
Umbrella term for any condition brought on by sudden, reduced blood flow to the heart
Acute Coronary Syndrome
The correct order of MONA
Non-stemi troponin levels.
What is normal?
Angina while active
What is stable plaque (stable angina)
Treatment for both NSTEMI and STEMI
Necrosis or cell death that occurs when severe ischemia is prolonged and decreased perfusion causes irreversible damage to tissue.
What is infarction?
325 mg chewable
What is aspirin dose?
STEMI troponin level.
Angina while at rest
Treatment for NSTEMI
What are antiplatelet agents and anticoagulants?
Hardening of the Arteries.
What is atherosclerosis?
3 contraindications to giving oxygen.
What is COPD, stroke, and head injuries?
Indigestion, GI upset, N/V, Pain between the shoulders, aching jaw, anxiety, unusual fatigue/weakness, shortness of breath, dizziness.
What are the manifestations of atypical angina in women?
Who are at greatest risk for atherosclerosis?
Kidney patients (renal artery stenosis)
Fibrinolytic medications
Insufficient oxygen supply to meet requirements of myocardium
What is Ischemia?
Do not give if systolic BP is under 100.
What is nitroglycerine?
PQRST assessment tool.
Precipitating factors
Quality
Radiation and region
Associating symptoms
Timing and treatment strategies
Hypertension
smoking
sedentary lifestyle
high blood levels of cholesterol and glucose
genetics
diet
What are causes of atherosclerosis?
metal mush tubes, may be drug-eluting or bare metal
Stents
Indicated when patients do not respond to medical management of CAD or when disease progression is evident.
What is CABG?
Nitroglycerine is given like this (time and max)
3-5 minutes for a max of 3 doses?
When should an EKG be done?
Manifestations of Impaired Myocadial Tissue Perfusion
Must name 4 to obtain full points
Tightness (heaviness, or extremely strong sensation in the chest)
Diaphoresis (shortness of breath, and lightheadedness)
Pain radiates to left arm and hand, jaw or shoulder
Nausea, shortness of breath, or fatigue
Sudden return of blood flow can cause arrhythmias due to electrolyte shifts
What is reperfusion injury?