Myocardial Infarction

Question 1

What is the cause of MI?

Answer 1

Decreased oxygen supply to the heart

Question 2

Where is the pain felt for MI ?

How long does pain last ?

Answer 2

Pain lasting longer than 30 minutes
1.)May describe pain as ____________crushing__, an elephant sitting on their
chest,

2.)pressure radiating to the left arm and left jaw,
3.)N/V, or
4.)pain between their
shoulder blades.

________women usually present with GI signs and symptoms, epigastric
complaints or pain between the shoulders, an aching jaw or a choking sensation.

What is the #1 sign of an MI in the elderly? __shortness of breathe

• Cold/clammy/BP drops
• Cardiac output is going ___down_.

• ECG changes

You may see the following terms in a test question:
WORRY ABOUT THE STEMI CLIENT
STEMI: ST-Segment Elevation Myocardial Infarction-this indicates that the client is having a heart attack and the goal is to get them to the cath lab for PCI in less than 90 minutes.
NSTEMI: Non-Elevation ST Segment Myocardial Infarction-these clients are usually less
Worrisome

• Vomiting-the vagus nerve is can be stimulated

Question 3

MI pain is not relieved by ___ or ____

Answer 3

MI pain is not relieved by rest or nitroglycerin

Question 4

What changes would you see on an EKG?

Answer 4

ST elevation

inverted T-wave

Question 5

What lab values will be elevated?

Answer 5

CK MB,

CPk

Troponin,

LDH,

WBC

Question 6

What medications are given for an MI?

Answer 6

Mona= morphine, oxygen, nitroglycerin, aspirin

Question 7

What activity is prescribed for this client?

Answer 7

Bed rest

Question 8

What is Angina pectoris?

Answer 8

Chest pain due to the heart not receiving enough oxygen

Question 9

Where is the pain located?

Answer 9

The same area of the chest as seen in myocardial infarction

Question 10

What are some common cause of angina?

Answer 10

• Early-morning activity(shoveling snow)
• heavy metals
• stress
• exercise
• smoking

Question 11

How is stable angina different from an MI?

Answer 11

Chest pain that has a typical on onset location

Last for 3 to 5 minutes and is relieved by nitroglycerin/rest

Question 12

What is unstable angina?

Answer 12

It is chest pain that occurs while the client is resting

Question 13

How is angina diagnose? 5

Answer 13

Cardiac Cath,

coronary artery bypass

Exercise/thallium

Stress test

EKG with no ST elevation

Question 14

What should you teach a client who has angina? 4 things

Answer 14

How to take nitro for pain

Diet modification low cholesterol

Exercise

Stop smoking