Myocardial Infarction Meds

Question 1

NOW

Answer 1

OANM
Oxygen
Aspirin
Nitro
Morphine

Question 2

NEXT

Answer 2

Cath lab or clot buster

Question 3

AFTER

Answer 3

prevent/stabilize clot
Heparin IV drip
Therapeutic range ptt 46-70
Antidote for heparin is
Protamine Sulfate
Memory trick
HAPTT (LIKE A FROG) heparin uses appt

Heart Rest
Nitro IV drip
Beta Blockers
CCB

Question 4

nitro notes

Answer 4

No viagra or -afil’s
3 doses max 5 minutes apart
No swallow, always under the tongue
At home, call 911 if there’s pain 5 minutes after first dose

Question 5

morphine

Answer 5

Any pain after 5 minutes is BAD!!
Indicates MI
More pain=more tissue death

Question 6

What is the main clot buster called

Answer 6

TPA- tissue plasminogen activator

Question 7

TPA nursing notes

Answer 7

8 hour window for huge bleeding risk
No new IV, subq, IM, ABG’s, too much of bleeding risk
Can only give meds through existing IV’s with pressure

Question 8

post cath lab teaching

Answer 8

8 hour window for huge bleeding risk
No new IV, subq, IM, ABG’s, too much of bleeding risk
Can only give meds through existing IV’s with pressure

Question 9

contrast kills the … and why is it used

Answer 9

kidneys

used to find blockages

Question 10

ABCC’s of contrast dye

Answer 10

Allergy to iodine- warm flushing is normal
Bleeding at catheter site
Direct pressure
Keep pt supine, no semi fowlers
No blood thinners within 6 hr window
No heparin, warfarin, clopidogrel, or aspirin
No crossing legs
Creatinine
Kidney’s normal is .9-1.2
30 ml/hr or less is bad
Diabetics on metformin stop 48 hrs before and after cath lab
Can’t palpate
If you can’t palpate pedal pulse, that’s a huge problem
Cold, cool, or colder legs= lack of perfusion