Medsurg final 7 Flashcards
Disruption in or deficiency of coronary artery blood supply, resulting in necrosis of tissue
MI
4 Causes of MI
Thrombus or clotting
Shock or hemorrhage
MI assessment: Sudden onset of pain in the lower s___ region
sternal
MI assessment: It differs from angina pain in its
sudden onset
MI assessment: Pain is not relieved by ___ or ___
rest or nitro
MI assessment: Pain may persist for
hours or days
MI assessment: Client may not have pain (silent MI), especially those with ____ ___
diabetic neuropathy.
MI assessment: Creatine kinase (CK) rises after
3 to 12 hours of an MI
MI assessment: Creatine kinase (CK) peaks at
24 hours
MI assessment: ____ band is specific to myocardial cells and can help quantify myocardial damage.
CK-MB
MI assessment: released into circulation after MI or injury and has greater sensitivity and specificity for myocardial injury than CK-MB.
Troponin
sounds like the best serum cardiac marker is
Troponin
MI assessment: pulse pressure
narrowed (i.e. 90/80)
MI: morphine is given for pain and to
increase O2 perfusion
MI: morphine is given to increase O2 perfusion because it
acts as a peripheral vasodilator and decreases venous return
Pancreatitis: think
insulin and glucose problems
Amylin
hormone that tells you to stop eating
