Help! My chest hurts!
Name a modifiable risk factor for angina
Smoking, hyperlipidemia, obesity, sedentary lifestyle, etc.
What med do we give on STC5 for "ACS protocol?"
Heparin drip
What lab is indicative of an acute MI?
Troponin
Which lead do we most commonly use?
Lead II
Leading cause of aortic aneurysms and dissections?
Old age
Stable angina occurs
with exertion
What OTC med do we give for ACS?
Baby aspirin
When should you call a rapid vs. just paging the doc for chest pain?
If the patient is UNSTABLE, call a rapid
If VSS, just page the doc
Which heart blocks are lethal rhythms?
Second Degree Type 2/Mobitz Type 2
and
Third Degree
Surgical intervention for compartment syndrome
Fasciotomy
Unstable angina
occurs at various times, at rest, without provocation, at various severity
How do beta blockers help ACS?
Decrease oxygen demand
Immediate treatment for V Fib
Defib
Normal PR Interval
0.12-0.20
What will the heart sound like on auscultation with cardiac tamponade?
Muffled
What does nitro paste/sublingual nitro do?
Vasodilate
What does ischemia look like on EKG?
ST depression
What does infarction look like on EKG?
Abnormal Q waves
Normal QRS
<0.12
Most common cause of cardiac tamponade
Pericarditis
What does "MONA" stand for?
Morphine
Oxygen
Nitro
Aspirin
What are the 3 coronary arteries?
Right Coronary Artery, Left Anterior Descending Artery, Circumflex Artery
What does injury look like on EKG?
ST Elevation
What are the inferior leads?
aVF, II, III
What is Beck's triad?
Muffled heart sounds, narrowing pulse pressure, JVD
This is a LATE SIGN!