CAD & ACS Flashcards

1
Q

Assessment/IG CAD w stable angina

A

VS/peripheral pulses
Carotid arteries
Pt history
12 lead
Electrolytes
Fasting glucose
Lipid panel (total cholesterol, HDL, LDL, triglycerides)
C-reactive protein
CXR
stress echocardiography
Coronary atrteriography/cardiac cath (gold standard for dx)

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2
Q

Identify/assess for ACS

A

VS/SpO2
BS
12 lead
CXR
electrolytes
Coagulation panel
Serial measurement of cardiac biomarkers (CK, CK-MB, troponin)

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3
Q

Management of CAD with stable angina including post-MI

A

Cardiac rehabilitation program
Antiplatelet drugs
antianginal drug
 beta blocker
Long acting nitrate
calcium channel blocker

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4
Q

Pt with stable angina but significant limitations, recommend..

A

Percutaneous coronary angioplasty or CABG

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5
Q

Treatment/DM for ACS/MI

A

ABCs/ACLS
Recommended to ALL patients with suspected ACS (STEMI OR NSTEMI): MONA+B-blocker
CXR
STEMI: Percutaneous coronary angioplasty (PCA) or CABG within 90 minutes, if unavailable: immediate fibrinolytic/thrombolytic therapy
Initially responsive NSTEMI: antianginal, Antiplatelet, antithrombin
Worsening NSTEMI (rising CK/troponin, changing ECG, etc): urgent revascularization (PCA/CABG)

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