Myocardial infarction/Acute Coronary Syndrome

Question 1

Patient complaints and review of system of patient have Myocardial infarction or acute coronary issue would include what?

Answer 1

history of alternation of anginal pain, occurring even at rest, and nitroglycerin not helping very much with pain, 
2CANDILS
1) Cough
2) Cold sweat/weakness
3) Apprehension
4) N/v
5) Dyspnea
6) Impending Doom
7) Light headedness
8) Syncope

Question 2

on physcial exam of patient with MI what is heard

Answer 2

CDS WTF

1) Crackles
2) Dysrhythmia
3) S4
4) wheezing
5) tachycardia
6) fever low grade first 48

Question 3

Management of MI includes

Answer 3

MONA BAHF

1) Morphine 2-4mg
2) O2
3) nitroglycerin SL q5min x3
4) Aspirin 325mg
6) Betablocker (metoprolol 5mg IV q2min x3; then 50mg q 6hr starting 15min after last IV dose)
7) ACEi (for failure or major infarct)
8) Heparin

Question 4

What test should be done for MI

Answer 4

CECE

1) Cardiac enzymes( troponin, CKMB)
2) ECHO ( look at wall)
3) CBC (look at WBC)
4) ECG