ACS Flashcards by Zoya Kosmodemyanskaya | Brainscape

Q

Give thrombolitics (time)

A

30 min since coming to the hospital door

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Q

Angioplasty time

A

90 min since coming to the door

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Q

Physical finding during ACS

A

S4 gallop

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Q

> 10 mmHg decrease in BP on inhalation

A

Pulsus paradoxus=> tamponade

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Q

Increase in jugular venous pressure on inhalation

A

Kussmaul sign=> constrictive pericarditis

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Q

Triphasic scratchy sound

A

Pericardial friction rub => pericarditis

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Q

Tbc, fibrosis pericarditis

A

Constrictive

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Q

Premature ventricular complexes PVCs

A

Should NOT be treated, even with acute infarction

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Q

Substernal chest pain for last HOUR

A

1st next step ASPIRIN

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Q

Next step after aspirin( 1 hour of chest pain)

A

Angioplasty ( if can do now)

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Q

If should TRANSFER for angioplasty

A

Give thrombolitics

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Q

Not critically dependent upon time Tx

A

BBs, statins

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Q

Time to being abn on EKG

A

Immediately at pain onset

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Q

Duration of EKG abnormality

A

ST elev progresses to Q waves over days to a week

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Q

Myoglobin time to being abn

A

1-4 hours

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Q

Myoglobin / duration of abn

A

1-2 days

Q

CK-MB / time to being abn

A

4-6 hours

Q

CK-MB/ duration of abn

A

1 -2 days

Q

Troponin / T to being abn

A

4-6 hours

Q

Tropinin / duration of abn

A

10- 14 days

Q

Reinfarction marker

A

CK-MB

Q

Renal insufficiency gives FP tests

A

Troponin ( renally excreted)

Q

After initial management pt should be in ICU

A

Continuous rhythm monitoring is essential

Q

Monitoring and rapid cardioversion

A

Improves survival

Q

Most common cause of death 1st several days after MI

A

Ventr arrhythmia( v tachycardia, v fibrillation)

Q

Reperfusion arrhythmia( accelerated ventr rhythm)

A

Do not treat( look like slow version of )