Section 8: CCS Flashcards
1
Q
List the emergency orders in Unstable Angina
A
- Pulse oximetry
- Oxygen
- IV access
- Cardiac monitor
- Continuous BP monitoring
- EKG, 12 lead
- ASA
- Nitroglycerine
2
Q
Diagnostic tests in unstable angina
A
- 12 lead EKG
- Cardiac enzymes
- CXR
- CBC
- BMP
- LFTs
- Lipid profile
- PT/INR and PTT
- Echocardiography
- Cardiology consult
- Cardiac catheterization
3
Q
Therapy in unstable angina
A
- IV access
- Oxygen
- Aspirin
- Nitroglycerin
- Heparin
- Metoprolol
- Eptifibatide, a GPIIb/IIIa inhibitor
- Simvastatin
- Cardiology Consult
- Cardiac cathterization
- NPO
- Bed rest
- Counseling
4
Q
After catheterization in unstable angina, what are the risk factors reduction we should pay attention to?
A
- Check lipid profile (& TSH if abnormal)
- Patient counseling
- Smoking cessation
- Limit alcohol
- Exercise program
- Medication compliance
- Relaxation technique
- Diet, low sodium
- Diet, low cholesterol
- Follow up visit in 2 to 6 weeks
- Discharge home on medications (aspirin, metoprolol, statin, sublingual nitroglycerin, clopidegrel)
