Acute coronary artery disease Flashcards
assessment for time for PCI
90 MIN
assessment time for fibrinolysis
12hours (3 hours is preferred)
Killip Class class 1`
no symptoms
class 2
rales crakles s3 jvd
class3
frank pulmonary edema
class4
cardio shock
patient with MI comes in, assessment you see Hypotension, hypovolemia, and respiratory depression should morphine be given
no
patient taking sildenafil comes in with MI what should you not give for treatment
nitroglycerin
patient discharge after MI history of DM what is one medication we should not give
betablocker
Patient not tolerating ACE what could be replaced
ARB
Patient not tolerating ACE what could be replaced
ARB
Patient had anterior MI, history of pulmonary congestion, and LVEF less than 40 what medication should be given
ACE
patient just had NSTEMI would like to go home on antiplatelet agent
say no
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
High risk
Patient comes in chest pain, what is seen is Twave inversion, and slight elevated cardiac markers, after 10 minutes pain is gone what risk
intermedicate