EKG
What are PACs and PVCs?
Extra/to early beats.
Pt has chest pain not relieved by rest?
Unstable angina
Pt under goes angiogram. What post-op interventions should the nurse complete?
Assess peripheral pulse and bedrest for 6 hours
What is Aspirin used for?
Anti-platelet
Pt is having an irregularly irregular rhythm with no one distinct p wave.
A-fib
Clinical manifestations of CAD
Pain, pressure, or discomfort in center of chest
Pain, tingling, or discomfort in other parts of the body (including arms, back, neck, jaw or stomach)
Shortness of breath
Intermittent claudication
Women may have atypical symptoms like upset stomach, nausea
Chest pain that a relieved by rest is?
Stable angina
What therapy should be provided for a suspected MI
MONA
What is the action of Nitroglycerin
Vaso dilation
EKG placement
white on right
Smoke over fire
What lipid correlates with plaque formation in the coronaries?
LDL
risk factors for atherosclerosis
Genetics (FAMILY HISTORY), ethnicity, age (Males >50 years; females post menopause), Smoking, obesity, physical inactivity, hypertension, stressful lifestyle, excessive alcohol use, diabetes, elevated cholesterol.
MI with no EKG changes
NSTEMI
How should Nitro be administered?
-Sublingual 5 min apart PRN chest pain x 3
-Paste on chest
what should a post pacemaker patient be cautioned against?
Magnets, MRIs, and airport security
Pt has a 99% blockage in the LAD? What's the likely next step?
CABG
Angiogram is looking at the vessels
Angioplasty is opening them up with a balloon.
Stent is placement of a metal rod to keep artery open.
Labs used to determine if an MI is occurring
Troponin – most sensitive, serial/timed draws, remains elevated for 10-14 days
Creatine Kinase, CKMB
Myoglobin – protein found in skeletal muscles, not specific
What is the purpose of beta-blockers
Slow and strengthen the heart. HR control
Pt has a PR of 0.18. What should the nurse do?
Nothing. document.
Pt is in V-fib. Code is called and team arrives. What is the most likely management?
Defib the v-fib
Pt is complaining of chest pain and passes out. Code is called and asystole shows on the monitor. Best management?
CPR
MI with EKG changes
STEMI
What are statins for?
Cholesterol lowering medication