Acute Coronary Syndrome Flashcards

1
Q

stable angina

A

-

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2
Q

stable angina

A

-

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3
Q

unstable angina

A

-

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4
Q

non modifiable risk factors

A

-

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5
Q

modifiable risk factors

A

-

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6
Q

oral contraceptives as a risk factor for clotting

A

-

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7
Q

risk factors for CAD

A

-

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8
Q

What does increase blood sugar do?

A

cause damage to your vasculature

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9
Q

homocysteine levels

A

5-15 = normal

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10
Q

c-reactive protein

A

normal = 1 mg

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11
Q

If total cholesterol is >260 ____X the risk for CAD

A

-

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12
Q
Total Cholesterol
HDL
LDL
TG
HDL:LDL  ratio
VLDL
A
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13
Q

Which angina has a thick fibrous cap protecting it?

A

Stable

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14
Q

Questions for unstable angina

A

“Is this chest pain like you have had before?” -much worse
“when did it occur”
I woke up with it

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15
Q

Thin fibrous caps breaks

A

unstable angina

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16
Q

first thing to reach for at home if you have never had chest pain

A

aspirin

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17
Q

Angina relieved by 1 nitroglycerin

A

stable

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18
Q

Which type of angina can occur with clean arteries?
Why
What EKG association

A

Variant

It is a spasm
ST elevation

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19
Q

Slient ischemia

A

Not everyone has severe pain with a heart attack

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20
Q

Who is more likely to have silent ischemia

A

diabetics

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21
Q

Women’s angina symptoms

A

-

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22
Q

Go ahead and get a _ ____ ___ for someone short of breath

A

12 lead EKG

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23
Q

MI: time is _______

A

muscle

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24
Q

Cardiac cells can withstand ischemia for ____ min before necrosis

A

20

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25
Q

MI: Ischemia

A

The beginning of the lack of oxygen flow to the heart due to lack of depolarization

T wave inversion or
Tall peaked T wave, or ST depression

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26
Q

MI: Injury

A

due to decreased blood supply (Returns to normal as injury heals)
-Elevated ST

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27
Q

Infarction

A

due to scar tissue that cannot depolarize
will usually remain on 12 lead ECG

-pathological Q wave

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28
Q

Pathological Q wave

A

wider and longer or changing

Always indicative of MI (previous or present)

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29
Q

NSTE-MI

A

Non ST elevation MI
Infarction not full thickness
Less likely to have Q waves
Treatment is still aggressive

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30
Q

STE-MI

A

-

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31
Q

Transmural

A

-

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32
Q

Non Transmural

A

-

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33
Q

Anterior Infarction

A

Vessel: LAD
Leads: V3 - V4

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34
Q

Inferior Infarction

A

Vessel: RCA
Leads: II, III, AVF

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35
Q

Know the order of when to look at biomarkers and when they occur (slide 31)

A

-

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36
Q

When would you check the biomarkers

A

Admission
4 hours
4 hours

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37
Q

M
O
N
A

A

Morphine
Oxygen
Nitrate
Aspirin

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38
Q

Who gets the t-PA drugs?

A

Someone who lives in an area that doesnt have the ability to get PCI in 30 minutes

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39
Q

What is PCL

A

-

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40
Q

What does Aspirin do

A

-

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41
Q

What does heparin do

A

-

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42
Q

Intensive glucose therapy: why do we went glucose down?

A

We want glucose down

  1. Less chance of infection
  2. Less irritability of the vessel
  3. Prevent ventricular remodling
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43
Q

Which coronary causes a inferior wall MI

A

Right Coronary

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44
Q

know pulmonary

edema

A

-

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45
Q

short or breath what does nurse do first =

A

raise head of bed

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46
Q

ST elevation in all 12 leads =

A

-

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47
Q

When can i resume normal sexual activity after MI?

A

When you can climb 2 flights of stairs without getting short of breath

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48
Q

cell saver

A

-

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49
Q

cardiac tamponade

A

muffled heart tones
sudden decrease in chest tube drainage
widening cardiac silouette on CXR

50
Q

management slide 69

A

-

51
Q

CABG STROKE RISK

A

stroke from bypass machine thrombus

52
Q

who is at risk for cardiogenic shock

A

MI
surgical patient
dysrhythmia

53
Q

symptoms of cardiogenic shock

A

low CO
SOB
fast HR

54
Q

clinical manifestations of cardiogenic shock

A

-

55
Q

Where should you put vasopressors for cargiogenic shock

A

central line

56
Q

What does IABP do

A

reduces afterload

improves coronary circulation

57
Q

When does balloon pump inflate?

A

During diastole

58
Q

What does IABO do when it inflates?

A

helps perfuse coronary arteries

59
Q

KNow safety issues IABP

A
  • bleeding
  • occlusion (distal)
  • perforation
  • infection
60
Q

NI for safety of balloon pump

A
  • watch I&O

- watch pulses

61
Q

know IABP waveforms slide 97

A

-

62
Q

unstable angina

A

-

63
Q

non modifiable risk factors

A

-

64
Q

modifiable risk factors

A

-

65
Q

oral contraceptives as a risk factor for clotting

A

-

66
Q

risk factors for CAD

A

-

67
Q

What does increase blood sugar do?

A

cause damage to your vasculature

68
Q

homocysteine levels

A

5-15 = normal

69
Q

c-reactive protein

A

normal = 1 mg

70
Q

If total cholesterol is >260 ____X the risk for CAD

A

-

71
Q
Total Cholesterol
HDL
LDL
TG
HDL:LDL  ratio
VLDL
A
72
Q

Which angina has a thick fibrous cap protecting it?

A

Stable

73
Q

Questions for unstable angina

A

“Is this chest pain like you have had before?” -much worse
“when did it occur”
I woke up with it

74
Q

Thin fibrous caps breaks

A

unstable angina

75
Q

first thing to reach for at home if you have never had chest pain

A

aspirin

76
Q

Angina relieved by 1 nitroglycerin

A

stable

77
Q

Which type of angina can occur with clean arteries?
Why
What EKG association

A

Variant

It is a spasm
ST elevation

78
Q

Slient ischemia

A

Not everyone has severe pain with a heart attack

79
Q

Who is more likely to have silent ischemia

A

diabetics

80
Q

Women’s angina symptoms

A

-

81
Q

Go ahead and get a _ ____ ___ for someone short of breath

A

12 lead EKG

82
Q

MI: time is _______

A

muscle

83
Q

Cardiac cells can withstand ischemia for ____ min before necrosis

A

20

84
Q

MI: Ischemia

A

The beginning of the lack of oxygen flow to the heart due to lack of depolarization

T wave inversion or
Tall peaked T wave, or ST depression

85
Q

MI: Injury

A

due to decreased blood supply (Returns to normal as injury heals)
-Elevated ST

86
Q

Infarction

A

due to scar tissue that cannot depolarize
will usually remain on 12 lead ECG

-pathological Q wave

87
Q

Pathological Q wave

A

wider and longer or changing

Always indicative of MI (previous or present)

88
Q

NSTE-MI

A

Non ST elevation MI
Infarction not full thickness
Less likely to have Q waves
Treatment is still aggressive

89
Q

STE-MI

A

-

90
Q

Transmural

A

-

91
Q

Non Transmural

A

-

92
Q

Anterior Infarction

A

Vessel: LAD
Leads: V3 - V4

93
Q

Inferior Infarction

A

Vessel: RCA
Leads: II, III, AVF

94
Q

Know the order of when to look at biomarkers and when they occur (slide 31)

A

-

95
Q

When would you check the biomarkers

A

Admission
4 hours
4 hours

96
Q

M
O
N
A

A

Morphine
Oxygen
Nitrate
Aspirin

97
Q

Who gets the t-PA drugs?

A

Someone who lives in an area that doesnt have the ability to get PCI in 30 minutes

98
Q

What is PCL

A

-

99
Q

What does Aspirin do

A

-

100
Q

What does heparin do

A

-

101
Q

Intensive glucose therapy: why do we went glucose down?

A

We want glucose down

  1. Less chance of infection
  2. Less irritability of the vessel
  3. Prevent ventricular remodling
102
Q

Which coronary causes a inferior wall MI

A

Right Coronary

103
Q

know pulmonary

edema

A

-

104
Q

short or breath what does nurse do first =

A

raise head of bed

105
Q

ST elevation in all 12 leads =

A

-

106
Q

When can i resume normal sexual activity after MI?

A

When you can climb 2 flights of stairs without getting short of breath

107
Q

cell saver

A

-

108
Q

cardiac tamponade

A

muffled heart tones
sudden decrease in chest tube drainage
widening cardiac silouette on CXR

109
Q

management slide 69

A

-

110
Q

CABG STROKE RISK

A

stroke from bypass machine thrombus

111
Q

who is at risk for cardiogenic shock

A

MI
surgical patient
dysrhythmia

112
Q

symptoms of cardiogenic shock

A

low CO
SOB
fast HR

113
Q

clinical manifestations of cardiogenic shock

A

-

114
Q

Where should you put vasopressors for cargiogenic shock

A

central line

115
Q

What does IABP do

A

reduces afterload

improves coronary circulation

116
Q

When does balloon pump inflate?

A

During diastole

117
Q

What does IABO do when it inflates?

A

helps perfuse coronary arteries

118
Q

KNow safety issues IABP

A
  • bleeding
  • occlusion (distal)
  • perforation
  • infection
119
Q

NI for safety of balloon pump

A
  • watch I&O

- watch pulses

120
Q

know IABP waveforms slide 97

A

-