Acute coronary artery disease Flashcards

1
Q

assessment for time for PCI

A

90 MIN

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2
Q

assessment time for fibrinolysis

A

12hours (3 hours is preferred)

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3
Q

Killip Class class 1`

A

no symptoms

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4
Q

class 2

A

rales crakles s3 jvd

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5
Q

class3

A

frank pulmonary edema

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6
Q

class4

A

cardio shock

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7
Q

patient with MI comes in, assessment you see Hypotension, hypovolemia, and respiratory depression should morphine be given

A

no

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8
Q

patient taking sildenafil comes in with MI what should you not give for treatment

A

nitroglycerin

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9
Q

patient discharge after MI history of DM what is one medication we should not give

A

betablocker

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10
Q

Patient not tolerating ACE what could be replaced

A

ARB

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11
Q

Patient not tolerating ACE what could be replaced

A

ARB

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12
Q

Patient had anterior MI, history of pulmonary congestion, and LVEF less than 40 what medication should be given

A

ACE

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13
Q

patient just had NSTEMI would like to go home on antiplatelet agent

A

say no

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14
Q

Patient comes in with chest pain history of depressed systolic left ventricle function, right now ST depression is seen and elevated cardiac markers are noted what risk is this patient for ACS

A

High risk

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15
Q

Patient comes in chest pain, what is seen is Twave inversion, and slight elevated cardiac markers, after 10 minutes pain is gone what risk

A

intermedicate

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16
Q

What are the items of invasive therapy

A

coronary angiography and revascularization within 12 to 48 hours
MONA+BAH
clopidigrel

17
Q

secondary prevention disease management for Blood pressure considerations

A

Goals less than 140/90 (less 130/80 if DM / CKD)

Maximized Betablockers and ACEI

18
Q

secondary prevention disease management for lipids considerations

A

LDL< 100 TG<200

Maximize use of Statins, consider fibrates/niacin, omega3 for TG

19
Q

What is in the medication checklist for a patient after MI

A
Antiplatelet agent
-aspirin
Lipid lower agent
-Statin
Antihypertension agent
-Beta bloker
- ACEI
- Aldactone
20
Q

Patient given nitrates and beta blockers, comes back next day and says it’s not working. What can you give

A

Calcium channel blockers

21
Q

Patient with recent acute coronary artery has ldl of greater than 100. What medication should be given for cholesterol and within what time?

A

Statin therapy

With in 24 to 96 hours

22
Q

Patient admitted with aute coronary syndrome HDR less than 40 what medicine is beneficial for hdl

A

Fibrates or niacin

23
Q

Patient after ACS asks to f there are any supplements that could be taken to reduce death after MI

A

Fatty fish and fish oil supplements

24
Q

Patients ask after ACS what herbal supplements can be taken to relieve angina, you suggest

A

L-arginine, L-caritine and B complex vitamins