CARDIAC CLASS ONE Flashcards
DISEASE PROCESSES
ACUTE CORONARY SYNDROME
sudden REDUCED BLOOD FLOW to the heart muscle due to 1. an MI (CHEST PAIN. SWEATING. ST ELEVATION. RADIATING PAIN)
or 2. UNSTABLE ANGINA
normal troponin
0-0.04
normal CK-MB
5-25
what do we want to see in pt’s with acute coronary syndrome?
what are our goals here?
- less amount heart necrosis
- get LV back to functioning as much as possible ( LV is the workforce of the heart)
- no major cardiac events
- treat life threatening complications
NON INVASIVE INTERVENTIONS FOR ACUTE CORONARY SYNDROME
(THINK MONA)
Morphine- pain relief
Oxygen- increased demand
Nitroglycerin- vasodilator
Asprin- anti platelet aggregate
INVASIVE INTERVENTIONS FOR ACUTE CORONARY SYNDROME
we’ll want to start fibrinolytic therapy quickly
or
percutaneous coronary intervention (cath lab)
TIME IS MUSCLE
THE LONGER YOU WAIT TO INTERVENE THE WORSE THE SYMPTOMS.
mitigate damage as quickly as possible
VALVE DYSFUNCTION
STENOSIS VS. PROLAPSE
mitral valve stenosis
-> pulmonary edema -> LHF
mitral valve prolapse
back flow-> pulmonary edema -> LHF
AORTIC VALVE STENOSIS
-> ENLARGED LEFT VENTRICLE -> LEFT VENTRICULAR FAILURE
AORTIC VALVE PROLAPSE
-> BACKFLOW BACK INTO THE LEFT VENTRICLE -> LEFT VENTRICULE GETS LARGER-> LEFT VENTRICULAR FAILURE
INFECTIVE ENDOCARTITIS MANIFESTATIONS
PT PRESENTS with FLU like SYMPTOMS
PETECHIAE
SPLINTER HEMORRHAGES IN NAIL BEDS
ENDOCARDITIS
INFECTION of INNER layer of heart, the endocardium
CARDIOMYOPATHIES
sinus bradycardia treatment
atropine
transcutaneous pacing
sinus tachycardia treatment
adenosine
beta blocker
calcium channel blockers
SVT treatment
vaso vagal maneuver
adenosine.
ablation
