Acute Coronary Syndrome/Mis.
What lab value is used to help determine the difference between unstable angina and MI?
Troponin
What disorder is shown by pleuritic chest pain?
Pericarditis
What type of heart failure has manifestations of JVD, hepatomegaly, ascites, and dependent edema?
This is the minimum MAP required for adequate organ perfusion
MAP of 65
These have the primary effects of:
1. Systemic vasodilation
2. Blocks calcium form entering arterioles
3. Reflex tachycardia is a side effect
Calcium channel blockers
This mediation may also be used to treat paroxysmal supraventricular tachycardia (PSVT)
Adenosine
What are the signs of Beck's triad?
What do cardiologists call an evaluation of the amount of blood pumped by the heart with each beat?
Ejection Fraction
Compensatory stage
What medication is known to increase myocardial contractility and afterload and is used for cardiogenic shock?
Dopamine
What heart rhythm should you not shock?
Asystole
What are the hallmark ECG changes in pericarditis?
Concave ST elevation or PR segment depression
Name two drugs that are used to decrease heart rate in heart failure patients.
Beta blockers, digoxin,
What is an example of a mechanical device used in the treatment of cardiogenic shock?
Intra-aortic balloon pump, ventricular assist device
Your heart failure patient has a low EF and a HR of 140. What medication would you expect to give?
Digoxin
Name two anti-arrhythmic medications used in cardiac arrest.
Lidocaine and Amiodarone
The primary symptoms are exertional dyspnea. Atrial fibrillation may be present on ECG
Mitral stenosis
If a patient with heart failure is having issues with increased preload, what type of medication should be the priority?
Diuretics
The coagulation cascade is activated in its entirety, resulting in fibrin clots to form leading to severe bleeding and thrombus.
What is DIC
This body response causes vasoconstriction and retention of fluid and sodium
Activation of renin angiotensin -aldosterone system
Name 5 H's or T's for cardiac arrest
Hypovolemia, hypoxia, acidosis, hypo/hyperkalemia, tension pneumo, cardiac tamponade, toxins, thrombosis
Malaise, anorexia, fatigue, weight loss, night sweats
Signs of endocarditis
What complication of heart failure can be described as SOB, low 02, pink and frothy sputum, orthopnea?
Pulmonary edema
What stage of shock do the cells resort to anaerobic metabolism resulting in metabolic acidosis?
Progressive stage
Acts on veins, promotes venous vasodilation, decreased preload and cv oxygen demand; rapid acting
Nitroglycerin