MI
Do women and mwn present with similar s/s of cardiac related chest pain? If so, what s/s?
Yes. Shortness of breath and indegestion
A diagnositc procedure where a contrast medium is injected into the arteries to see if theres any blockage
angiogram
Normal pH range? What does a high pH signify? Low pH?
Normal: 7.35-7.45
Low pH- acidic
High pH: alkalosis
What should you do before the pt is given sedative medication?
Written consent
Discharge education
low salt diet, medication compliance, physically active, no smoking, control BP
EKG findings for NSTEMI
ST depression OR T wave inversion
What is another name for angioplasty?
percutaneous coronary intervention
What does the presence of tropin in the blood indicate?
myocardial necrosis
Nursing care for a pt taking metformin
med is usually withheld 48 hours before and after the procedure because of the risk for lactic acidosis associated with idoine dye
When to call for help in a pt with MI
n/v, chest pain, loss of distal leg pulses (emboli or low blood pressure), change in MS, ****sudden onset of loud murmur (new onset mitral regurgitation or ventricular rupture)
EKG findings for STEMI and #1 choice of management for chest pain with STEMI>
ST segment elevation; morphone sulfate
a procedure where a balloon is used to open an artery that has become narrowed or blocked.
angioplasty
PaCo2 normal range
35-45
What meds can be given pre op to avoid clotting during the procedure?
asprin pr clopidogrel
What manifestion could indicate a prior MI?
a pathological Q wave
What labs and allergies should be assessed pro op?
Creatinine, CBS, PTT, potassium
seafood allergies, iodine allergies, drug allergy
routine VS
HC03 normal range
22-28
What should the nurse teach the pt to do post angioplasty?
Inspect the site daily. Notify physician if you experience: heavy bleeding, unusual discharge from the site, unusual pain at the groin or affected area, s/s of infection
A type of ST segment elevation with a specific morphology which is observed in the early peiod of acute MI
ECG tombstoning
CABG
a type of surgery that improves blood flow to the heart
an alternative way to perform an ecg. a specialized probe containing an ultrasound transducer is passed into the pts esophagus
TEE
How often should the nurse monitor the pts VS especially the cardiac rate and rhythm post angioplasty?
every 15 to 30 mins for two hours