Clogged Pipes
What are three conditions associated with ACS?
What are Unstable Angina, STEMI, NSTEMI?
STEMI: 100%
NSTEMI: Partial (80-90%)
Describe the boxes their related time in seconds on a EKG.
Small box: 0.04 sec
Large box : 0.2 sec
5 Box: 1 Sec
30 Box: 6 sec
This is known as the pacemaker of the heart.
What is the Sinoatrial node?
What medications (4) would you expect someone to be prescribed post cardiac event?
What are Beta Blockers (Why?), ACEI or ARB, Statins
Name 4 risk factors for developing CAD?
Describe what is going on with this EKG? (Show EKG Picture)
What is a STEMI?
Describe what is happening during each electrical phase. Include P-wave, QRS, T-wave.
What is
P wave: Atrial Depolarization
QRS: Ventricle Depolarization
T wave: Ventricle Depolarization
Name 4 risk factors for Ventricular Tachycardia.
What are Myocardial ischemia, cardiomyopathy, hypokalemia, Drugs and Shock.
Describe commons signs and symptoms of a MI?
What is : Chest pain, SHOB, Dyspnea, Anxiety, Diaphoresis? Atypical includes abdominal pain, back pain, N/V.
An older individual with CAD is more likely to survive ACS than a younger individual due to this?
What is collateral circulation?
Differentiate electrodes and leads
What is the most common heart dysrhythmia and what are some interventions?
What is A-Fib? Interventions: O2, Medication (BB, Diltiazem, Amioderone, Digoxin, Anticoagulants (if nothing else works), cardioversion
What are these rhythms ? Show EKG Photos.
What is V-Fib #1 and V-Tach #2?
What are 5 medications used during ACS?
What are aspirin, clopidogrel (P2Y12 platelet inhibitors), Nitro, Morphine, Oxygen?
This tool can provide the most accurate measurement of blood pressure?
What is an Arterial Line?
What is the appropriate time in seconds for each of of the following. PR Interval, QRS Duration, ST Segment, QT Interval.
Bonus +300: What rhythm can prolonged QT Interval lead too AND what is the treatment?
PR Interval: 0.12-0.2 seconds
QRS Duration: 0.04-0.12 seconds
ST Segment: Not measured in time
QT Interval: 0.36-0.44 seconds
Define the following terms: Automaticity, Excitability, conductivity, contractility
Automaticity: generates own signal
Excitability: responds to signal and depolarizes
Conductivity: Passes the signal on
Contractility: the squeeze
Name 2 key interventions for monitoring Aortic Aneurysms.
What is monitoring for growth (5-5.5cm >0.5 cm/year) and control hypertension.
What is the timeline for both a PCI and thrombolytic therapy?
What is 90 min for PCI and 30 min for thrombolytic therapy?
Differentiate what you would see when comparing unstable angina, STEMI and NSTEMI
Unstable Angina: Normal or diagnostic EKG, negative troponin
STEMI: ST elevation
NSTEMI: Other ST or T wave changes, positive troponin
1. Rate 2. Rhythm 3. P-waves? 4. PR Interval 5. QRS Duration? 6. ST Segment 7. T waves? 8. QT Interval?
This atrial dysrhythmia is due to an impulse that circulates repeatedly through the atria resulting in a HR ranging from 100-280 bpm.
Bonus: Name 4 possible interventions
Interventions: Vagal Maneuvers, adenosine, fluids, assess BP, BB, CCB, Synchronized Cardioversion
Name 6 assessment findings associated with an dissecting aorta.
What are Sharp sudden back/lower abdominal pain, hypotension, Diaphoresis, LOC, Loss of pulse distal to rupture, Dysrhythmias, flank brusing, abdominal distention, pulsation in upper abdomen.