3_ Acute myocardial infacrtion Flashcards
Death of heart tissue due to blocked coronary artery
MYOCARDIAL INFARCTION
AMI is an _________
Ischemia
Most of the cases are due to _____________ (90%)
Atherosclerosis
Other causes of M.I are _____,________, _______ (5%)
Spasm, embolism,trauma
Decreased tissue perfusion and oxygenation may cause anaerobic metabolism that causes production of lactic acid that causes nerve endings irritation that causes ___________
Chest pain
Decreased tissue perfusion and oxygenation may cause anaerobic metabolism that causes production of_________ that causes nerve endings irritation that causes chest pain
lactic acid
Nurse Assess: P Q R S T
P-rovoke
Q- uality
R- egion/ R-adiation
S- everity
T- iming
Nurse Lea is assessing a client who is previously
diagnosed with Myocardial Ischemia, it is most
important to ask which of the following?
A. “ What medications are you currently taking?’
B. “Have you ever had similar symptoms in the past?”
C. How long did these symptoms start?”
D.” Have you been under a lot stress lately?”
C. How long did these symptoms start?”
Radiation of pain
Left Jaw
Left arm
Left—
Silent M.I are more prone to people with:
1.
2.
3.
- Elderly
- DM- differences in pain threshold, autonomic
neuropathy and psychological factors
3.After heart transplantation.
CARDIOVASCULAR ASSESSMENT:
TEMPERATURE
BLOOD PRESSURE
NORMAL VALUES?
Normal : 36,5- 37.5
BP 110/70 mmhg
Febrile if:
Cardiovascular infection, Heightened cardiac workload, MI , Acute Pericarditis, Infective Endocarditis
No. 1 Cardiovascular Infection
Rheumatic Heart Disease
Treatment for RHD
Penicillin
IF.. Assessing BP for the 1st time, take measurements in_______
both arms
