Acute Coronary Syndromes (ACS)

Question 1

NSTEMI vs. STEMI

Answer 1

STEMI (ST-elevation MI) - ECG shows MI and positive for damage to myocardium & enzyme biomarkers
STEMI give TPA

Question 2

what to ask pt before giving TPA

Answer 2

see if they are on any other blood thinner medications

Question 3

what to hold prior to stress test

Answer 3

no meds that day, no caffeine
NPO 3hrs prior

Question 4

causes of MI

Answer 4

SODDA

S - stress, stimulants, smoking
O - obesity (BMI >25)
D - diabetes & HTN
D - diet high in cholesterol
A - African men & Age >50

Question 5

what are S/S of MI

Answer 5

pain radiating to jaw, neck, arm, wrist, other places
diaphoresis
tachycardia
changes in LOC

Question 6

usage of nitroglycerides

Answer 6

HF, HTN, anal fissures, period pain, angina from ischemia or cocaine

Question 7

treatment of MI

Answer 7

MONA

M: morphine sulfate
O: oxygen
N: nitroglycerin
A: aspirin

Question 8

what cardiac enzymes to look at

Answer 8

CK- MB
troponin
myoglobin

Question 9

diagnostics for MI

Answer 9

12 lead ECG
cardiac enzymes
CXR
PCI (percutaneous coronary intervention) to do angioplasty or stent placement