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ACS Treatment Flashcards

0
Q

med given to ⬇️ pain & anxiety

A

morphine

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1
Q

which 3 categories of meds are given to tx ACS

A

analgesics
ACE inhibitors
Thrombolytics

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2
Q

med given to ⬇️ ❤️ workload in ⬆️ oxygenation

A

morphine

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3
Q

what should you monitor for in a pt given morphine

A

⬇️ BP & RR

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4
Q

which type of med prevents the conversion of angiotensin I to angiotensin II

A

ACE inhibitors

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5
Q

med given to:
⬇️ BP
⬆️ Na & fluid excretion
⬇️ O2 demand of the ❤️

A

ACE inhibitors

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6
Q

what should be checked prior to administration of ACE inhibitors

A

hypotension
hyponatremia
hypovolemia
hyperkalemia

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7
Q

what should be monitiored after administering ACE inhibitors

A 
BP
UO
Na
K
creatinine
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8
Q

med given to dissolve thrombus in a coronary artery

A

thrombolytics

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9
Q

this category of med should be given w/in 3-6 hours of s/s onset

A

thrombolytics

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10
Q

this category of med should be given 30 mins door to needle

A

thrombolytics

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11
Q

what are the 2 types of thrombolytics used

A

activase

reteplase

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12
Q

tx that opens occluded coronary artery & promotes reperfusion to that area

A

emergency PCI

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13
Q

tx 60 mins door to balloon time

A

emergency PCI

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14
Q

which type of MI is an emergency PCI used for

A

STEMI

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15
Q

which type of med ⬇️ afterload, preload, & BP

A

ACE inhibitors

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16
Q

what type of meds are:
catopril
enalapril
lisinopril

A

ACE inhibitors

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17
Q

which type of med ⬇️ afterload & BP

A

Angiotensin II receptor blockers

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18
Q

type of med:
losartan
diovan
hyzaar

A

Angiotensin II receptor blockers

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19
Q

what should you monitor for w/ angiotensin II receptor blockers

A

hypotension
dry cough
rash
⬆️ K, ⬇️ Na

20
Q

what are the 2 oral antiplatelet agents

A

aspirin

plavix

21
Q

what are the 2 IV antiplatelet agents

A

aggrastat

integrilin

22
Q

what are the risk factors with oral antiplatelets

A

bleeding

GI distress

23
Q

what are the risk factors with IV antiplatelets

A

bleeding

stroke

24
Q

what type of med prevents conversion of prothrombin ➡️ thrombin; fibrinogen ➡️ fibrin
(prevents clot growth/formation)

A

anticoagulants

25
Q

what are the 2 anticoagulants

A

heparin

lovenox

26
Q

what is the normal aPTT time

A

20-35 seconds

27
Q

what is the normal heparin level

A

< 0.10

28
Q

what is an adverse effect of anticoagulants

A

Heparin induced thrombocytopenia

29
Q

what is the reversal agent for HIT

A

protamine sulfate

30
Q

what type of med ⬇️ O2 demand by ⬇️ the force of contractions

A

beta blockers

31
Q

what type of med improves filling time by ⬇️ AV node conduction

A

beta blockers

32
Q

what type of med ⬇️ afterload by vasodilating peripheral vessels

A

beta blockers

33
Q 
what category of med:
metoprolol
atenolol
propanonol
nadolol
labetalol
A

beta blockers

34
Q

what is something to be careful of w/ beta blockers

A

hypoglycemia

35
Q

which type of med ⬇️ myocardial O2 demand by ⬇️ contractility

A

calcium channel blockers

36
Q

what type of med prevents/treats coronary artery spasm

A

calcium channel blockers

37
Q 
type of med:
cardizem
calan
amlodipine
procardia
A

calcium channel blockers

38
Q

what type of med is important to asses for hypotension, orthostatic changes, & bradycardia

A

calcium channel blockers

39
Q

what type of med ⬇️ myocardial O2 demand by vasodilating peripheral vessels

A

nitrates

40
Q

what is important to assess for with nitrates

A

hypotension

headache

41
Q

what type of med activates the fibrinolytic system to generate plasmin & breakdown fibrin clots

A

fibrinolytics

42
Q

what do fibrolinics end in

A

-ase

43
Q

what is a procedure to open narrowed coronary artery

A

percutaneous transluminal coronary angioplasty (PTCA)

44
Q

which procedure inflates a balloon to dilate arteries and improve bloodflow to the ❤️

A

PTCA

45
Q

which procedure involves open ❤️ surgery; a BV from another part of the body is grafted to the coronary artery lesion

A

coronary artery bypass graft (CABP)

46
Q

which procedure provides mechanical O2 & circulation for systemic perfusion

A

cardiopulmonary bypass

47
Q

how is the ❤️ paralyzed during pulmonary bypass

A

potassium solution

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