MI class

Question 0

What causes Mi?

Answer 0

Atherosclerosis

Coronary Spasm

Question 1

MI

Answer 1

Myocardial infarction
Ischemic Death of the myocardial tissue
The area of infancy if caused by the coronary artery and its distribution of blood flow

Question 2

3 areas of damage with MI

Answer 2

Injury
Ischemia
Black area of cellular death

Question 3

Clinical manesfestations

Answer 3

Chest pain, SOB, Indigestion, Nausea, Anxiety, cool pale moist skin, heart rate and respiratory rate faster FACE OF DOOM AND GLOOM

Question 4

Sudden Death?

Answer 4

1hr of when the symptoms actually started

Question 5

Gerontological considerations

Answer 5

Increased: Vascular myocardial stiffness, systolic and pulse pressure, bradycardia Arrythmias,
IMPAIRED: sinus node and epithelial function.
hypertension CAD, Amyloidal function
Confuction problems

Question 6

The Heart

Answer 6

Muscle relaxes less between beats
More stuff
May not pump blood efficiently
Less responsive to stimulation by the nervous system
Less able to unscrew strength of contractions
Walls may thicken

Question 7

Treatment - Echocardiogram

Answer 7

Look at the conduction of the heart

Question 8

Troponin

Answer 8

Protein - We USE IT MORE now than anything else. PEAK SOONER LAST LONGER SHOWS UP QUICKER SNG DAMAGE WITHIN 3 weeks

Question 9

CPK MB

Answer 9

• Peaks within 24 hours but after that it drops

Question 10

Myoglobin

Answer 10

HEME PROTEIN- 1-3 peaks at 12 hours non specific cardiac and skeletal an INCREASE IS NOt SPECIFIC

Question 11

Goals for MI

Answer 11

Minimize myocardial Damage
Preserve Myocardial function
Prevent Complications

Question 12

MONA

Answer 12

MORPHINE
OXYGEN
NITROCLYCERINE -check headache
Aspirin DO NOT GIVE ENTERIC COATED

Question 13

Phase 1 on admit

Answer 13

Mobilization of patient, teach essentials of self care low level activity and education improved outcomes

Question 14

Phase 11

Answer 14

On discharge
that ohh sessions
3-5x/week supervised exercise
Training - Short term long ten goals everyone involved

Question 15

Phase 3

Answer 15

Long term program to maintain cardiovascular stability and long term conditioning usually self directed

Question 16

ANGINA

Answer 16

Insufficient coronary blood flow, from the narrowing of the coronary artery.

Question 17

Types of Angina

Answer 17

Stable

Unstable

Question 18

Stable Angina

Answer 18

Constant pain relieved by rest or nitroglycerin

Question 19

Unstable

Answer 19

Symptoms get worse and my boy be relieved by nitroglycerin

Question 20

Variant

Answer 20

At rest

Silent shows up on the stress test.

Question 21

Clinical manifestations of Angina

Answer 21

Feeling indigestion 
Choking sensation 
Agonizing chest pain
Radiating to jaw and arms 
Fear of impending death 
May feel like thru are going to die

Question 22

Gerontological Considerations

Answer 22

Intense 
Dyspnea 
Pain radiated to both arms 
Weakness is present 
Diagnostic test may be masked as other diseases