ACS

Question 1

Unstable Agina

Answer 1

Pain last longer than 10 mins
Pain not relieved by nitro, rest
May have ST depression/ Twave inversion
Cardiac enzymes will be negative
Troponin, CK-MB, Myoglobin

<0.1. 0%. <90mcg
No cell death
Partial blocked

Question 2

NSTEMI

Answer 2

Pain last longer than 10 mins
Pain not relieved by nitro, rest
May have ST depression/ Twave inversion
Cardiac enzymes will be positive

Troponin, CK-MB, Myoglobin
<0.1. 0%. <90mcg
Cell death to Left ventricle
80% blocked

Question 3

STEMI

Answer 3

ST elevation—>think injury

Cardiac enzymes will be positive

Troponin, CK-MB, Myoglobin
<0.1. 0%. <90mcg
Prolonged ischemia/infarction
100% blocked

Question 4

Antiplatelet drugs

Answer 4

Aspirin
Ticagrelor
Clopidogel
Clapitapril

Question 5

IIb/IIIa inhibitor

Answer 5

Eptifibatide
Given for UA/NSTEMI

Helps with working on other platelets receptors and keeping them from clumping up

Question 6

MONA

Answer 6

Morphine helps with vasodilation and pain; used when nitroglycerin isn’t getting relief; be sure to monitor respiratory status and BP

Oxygen

Nitroglycerin helps with vasodilation and to remove any pain; be sure to monitor BP

Aspirin- keeps platelet from sticking together

Question 7

Beta Blockers

Answer 7

Helps with heart failure; decreases o2 demand by decreasing HR

“lol” ending drugs

Question 8

ARB and ACEI drugs

Answer 8

“Sartan” ending drugs and “Pril”
If stable, used 1st 24hrs
Heart failure pts

Question 9

Anti dysthymic drugs

Answer 9

AmIODarone
Cardizem
Diltiazem
Metoprolol

Question 10

Lipid lowering drugs

Answer 10

Satin ending drugs
Atorvastatin, simvastatin, fluvastatin
Total cholesterol under 200
LDL under 100

Question 11

Stool softeners

Answer 11

Colace or Muralax
So they want be bearing down when trying to have a BM