Cardiac 2 Flashcards
Cause of MI
Low blood getting to the heart
Findings of MI
Chest pain
Pain radiating up to the jaw
Jaw tension
Cold skin
Heart rhythm that can indicate impending MI
PVCs
Elevated ST
Lab indicator for MI
Troponin
Normal Troponin level
< .03
3 major arrhythmias seen with MI
Pulseless V-Tach
V-Fib
Asystole
Treatment for v-fib
Defib
Medication for V-fib
Epinephrin
Amiodarone
Lidocaine
Med commonly prescribed for arrhythmias
Amiodarone
Order of treatment used in the ED for acute coronary syndrome
Oxygen
aspirin
Nitroglycerine
Morphine
The best position for someone with an MI
Elevation
the expected outcome of given a vasopressor
Increased BP
How long should our patient stay supine & straight after a cardiac cath
4 - 6 hours
Complication of a cardiac cath
Bleeding
Cardiac Cath
Looking into the heart chambers
How to assess extremity distal to puncture site
5Ps
Pulse
Pale
Pain
Paresthesia
Paralysis
expected symptom prior to a cardiac cath
Palpitations
Expected outcome of CCB
Decreased angina pain
Example CCB
- Dipine
Verapamil
Diltiazem
How do CCB work
Widen blood vessels
The expected outcome of Beta-blocker
Decrease HR
Decrease BP
Stop angina
The proper process of taking nitroglycerine
1 dose every 5 minutes for 3 TOTAL doses as needed
Expected adverse effects of Nitroglycerine
A headache
Decrease blood pressure
How often should nitro be renewed
Every 6 months
How often should nitro spray be renewed
every 2 years
How to identify ace inhibitors
- prils
Example inotropic drugs
Dobutamine and dopamine
MC type of cardiovascular disease
CAD
Med to relieve chest pain
Nitroglycerine
Intervention to relieve chest pain
Rest
Best way to assess circulation after a cardiac cath
check most distal pulse
What must we assess prior to giving nitroglycerine
BP
Common side effects of morphine
Constipation
A specific drug used to prevent ventricular remodeling
Ace inhibitor
The next step if HR suddenly drops
Check LOC
How long is someone NPO for a cardiac angiogram
8 HOURS
An uncommon side effect of a CCB
Gingival hyperplasia
What should be avoided when taking warfarin
Green plants
The expected outcome of warfarin
Prevent clotting
INR =
Warfarin
What should be the INR range for someone prescribed warfarin
2-3
Antidote for warfarin
Vitamin K
Antidote for heparin
Protamine Sulfate
PTT =
Heparin