Shocking!
Diagnostics
Pharm
Acute Coronary Syndrome
Junk Drawer
100

Risk for cardiogenic shock is elevated in patients having an MI affecting this area of the heart

Left ventricle

100

This lab test, part of a cardiac biomarker panel, is considered the "gold standard" in diagnosing myocardial infarction

Troponin

100

This drug is used to reduce platelet aggregation in patients having a myocardial infarction

Aspirin

100

Differentiates unstable angina from a non-ST elevation myocardial infarction (NSTEMI)

Biomarkers
100

Reversal agent for heparin

Protamine sulfate

200

With changes occuring at the cellular level, clinical manifestations in this stage of shock are minimal 

The early stage

200

This test provides information on the heart's response to activity

Stress test

200

This class of drug is used to increase mean arterial pressure for patients in cardiogenic shock

vasopressors (vasoconstrictors)

200

Coronary vessel referred to as "the widowmaker"

Left anterior descending

200

Form of chest pain that improves with activity

Prinzmetal's angina (variant)

300

This hemodynamic parameter is a better indication of perfusion than blood pressure or heart rate

Mean arterial pressure

300

This diagnostic can determine the patency of the coronary arteries and location of occlusion(s) if present

Angiogram

300

This drug inhibits the hepatic synthesis of vitamin-K dependent clotting factors 

warfarin

300

Treatment for acute coronary syndrome if no access to facilities with PCI or cardiac surgery

Thrombolytic 

300

Physiologic concept referring to the volume of blood in the ventricle at end-diastole

Preload

400

This stage of shock is characterized by significantly altered level of consciousness, oliguria, and weak/absent peripheral pulses

Progressive

400

This diagnostic is a graphic representation of the electrical activity of the heart and can be used to identify myocardial ischemia or necrosis 

electrocardiogram (ECG)

400
Vagal stimulation should be avoided in patients prescribed this class of drug

Beta blockers

400

This ECG change is associated with total occlusion of a coronary artery.

ST elevation

400

Anatomic location of the apex of the heart

4-5th intercostal space left mid-clavicular line

500

The term used to describe preferential blood flow to essential organs when cardiac output is impaired

shunting

500

One of two inflammatory markers associated with increased risk of acute coronary syndrome

C-reactive protein 

homocysteine

500

The term to describe drugs that increase force of myocardial muscle contraction 

Positive inotrope

500

ACE inhibitors reduce the production of this hormone, resulting in less fluid retention

Aldosterone

500

Abnormal muscle catabolism caused by HMG-CoA reductase inhibitors 

rhabdomyolysis

Will also accept "rhabdo"

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