ACS Treatment Flashcards
med given to ⬇️ pain & anxiety
morphine
which 3 categories of meds are given to tx ACS
analgesics
ACE inhibitors
Thrombolytics
med given to ⬇️ ❤️ workload in ⬆️ oxygenation
morphine
what should you monitor for in a pt given morphine
⬇️ BP & RR
which type of med prevents the conversion of angiotensin I to angiotensin II
ACE inhibitors
med given to:
⬇️ BP
⬆️ Na & fluid excretion
⬇️ O2 demand of the ❤️
ACE inhibitors
what should be checked prior to administration of ACE inhibitors
hypotension
hyponatremia
hypovolemia
hyperkalemia
what should be monitiored after administering ACE inhibitors
BP UO Na K creatinine
med given to dissolve thrombus in a coronary artery
thrombolytics
this category of med should be given w/in 3-6 hours of s/s onset
thrombolytics
this category of med should be given 30 mins door to needle
thrombolytics
what are the 2 types of thrombolytics used
activase
reteplase
tx that opens occluded coronary artery & promotes reperfusion to that area
emergency PCI
tx 60 mins door to balloon time
emergency PCI
which type of MI is an emergency PCI used for
STEMI
which type of med ⬇️ afterload, preload, & BP
ACE inhibitors
what type of meds are:
catopril
enalapril
lisinopril
ACE inhibitors
which type of med ⬇️ afterload & BP
Angiotensin II receptor blockers
type of med:
losartan
diovan
hyzaar
Angiotensin II receptor blockers
what should you monitor for w/ angiotensin II receptor blockers
hypotension
dry cough
rash
⬆️ K, ⬇️ Na
what are the 2 oral antiplatelet agents
aspirin
plavix
what are the 2 IV antiplatelet agents
aggrastat
integrilin
what are the risk factors with oral antiplatelets
bleeding
GI distress
what are the risk factors with IV antiplatelets
bleeding
stroke
what type of med prevents conversion of prothrombin ➡️ thrombin; fibrinogen ➡️ fibrin
(prevents clot growth/formation)
anticoagulants
what are the 2 anticoagulants
heparin
lovenox
what is the normal aPTT time
20-35 seconds
what is the normal heparin level
< 0.10
what is an adverse effect of anticoagulants
Heparin induced thrombocytopenia
what is the reversal agent for HIT
protamine sulfate
what type of med ⬇️ O2 demand by ⬇️ the force of contractions
beta blockers
what type of med improves filling time by ⬇️ AV node conduction
beta blockers
what type of med ⬇️ afterload by vasodilating peripheral vessels
beta blockers
what category of med: metoprolol atenolol propanonol nadolol labetalol
beta blockers
what is something to be careful of w/ beta blockers
hypoglycemia
which type of med ⬇️ myocardial O2 demand by ⬇️ contractility
calcium channel blockers
what type of med prevents/treats coronary artery spasm
calcium channel blockers
type of med: cardizem calan amlodipine procardia
calcium channel blockers
what type of med is important to asses for hypotension, orthostatic changes, & bradycardia
calcium channel blockers
what type of med ⬇️ myocardial O2 demand by vasodilating peripheral vessels
nitrates
what is important to assess for with nitrates
hypotension
headache
what type of med activates the fibrinolytic system to generate plasmin & breakdown fibrin clots
fibrinolytics
what do fibrolinics end in
-ase
what is a procedure to open narrowed coronary artery
percutaneous transluminal coronary angioplasty (PTCA)
which procedure inflates a balloon to dilate arteries and improve bloodflow to the ❤️
PTCA
which procedure involves open ❤️ surgery; a BV from another part of the body is grafted to the coronary artery lesion
coronary artery bypass graft (CABP)
which procedure provides mechanical O2 & circulation for systemic perfusion
cardiopulmonary bypass
how is the ❤️ paralyzed during pulmonary bypass
potassium solution
