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
Medication that dilates the coronary arteries to relieve chest pain
What is nitro
This lab value is the gold standard in diagnosing ACS
What is the troponin
The RN should order this protocol when a patient is displaying signs and symptoms of ACS
What is the Chest Pain Nursing Per Protocol
The staff in this unit are required to be ready within 30 minutes of receiving a STEMI alert
Cath Lab
Leads v1-v2 look at this part of the heart
What is the septum
What is plague rupture and clot formation
This class of medications reduces myocardial oxygen demand by reducing a patient's heart rate
What are beta blockers
Since the widespread adoption of this lab test, more people are being diagnosed with NSTEMI versus Unstable Angina
What is the high sensitivity troponin
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
This intervention opens up a clogged artery
This artery supplies blood to the inferior wall of the heart
What is the RCA
What are non-modifiable risk factors
Patients with ACS are placed on an IV infusion of this medication to prevent new clots from forming.
What is Heparin
This test provides an estimate of a patients ejection fraction and also detects any wall motion abnormalities in the ventricles
What is an ecocardiogram
What is a chest pain assessment
A drug coating forms around this type of stent to prevent clots from forming in the stent
These leads look at the inferior wall of the heart
What are leads II, III, and AVF
What are modifiable risk factors
Patients are loaded with this class of medications prior to going to the cath lab
What are anti-platelet medications
This test requires a person to walk on a treadmill
What is an exercise stress test
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
Patients who are found to have multi-vessel disease are often referred for this consult.
What is CT surgery
The artery that provides blood to the anterior wall of the heart
What is Spontaneous Coronary Artery Dissection
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
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
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.
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
The leads that are used to perform a posterior 12-Lead ECG
What are leads V7, V8, V9
People who are elderly or diabetic may present with these types of symptoms
What are atypical symptoms
These classes (2) of medications reduce the workload of the left ventricle by providing afterload reduction.
What are ACEs and ARBs
What is the CK-MB
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
A referral to this program is provided upon discharge to all patients with a diagnosis of ACS
What is cardiac rehab
A STEMI is only diagnosed when there are ST elevations in a last two _____ leads
What is Contiguous