Health Devations Involving CV Functions

48 terms by josh_r_bowling 

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Transmural

Full thickness

Subendocardial

partial thickness

LAD

Anterior LV

LAD

Septal

RCA

Inferior LV

L Circumflex

Lateral LV

L Circumflex

Posterior LV

C-Reactive Protein

An inflammatory mediator that is the best predictor of an upcoming MI

Homocysteine

An inflammatory mediator that is a good predictor of an upcoming MI, but not as good as C-Reactive Protein

sleep disturbance (60%), SOB (63%), and Fatigue (70%)

common atypical manifestations of an MI

SOB, syncope

Common atypical MI SS of elderly (>85)

Fibrinolysis requirements

Significant ST elevation, Ongoing chest discomfort (>20min & <12h), oriented, and>35 yo (males) >40 yo (females)

Troponin I

The gold standard and most specific lab test for an MI

Myoglobin

the fastest lab test for an MI

Doubles, 2h

If myoglobin ______ in _________ it is a good indication an MI has occured

STEMI

ST elevation indicates

Unstable angina or Non STEMI

ST depressions indicates

> 1mm, 2 buddy leads

In order for ST elevation to be "significant" it must be ______ and in _________

Ischemic, injured

_____ and _______ tissue can be saved

Infarct

Cannot be saved

tall or inverted T wave

Ischemia is indicated by a _________

Elevation

Injury is indicated by ST segment __________

Infarction (Acute)

is indicated by an abnormal Q wave, possible ST seg elevation, and possible t wave inversion

Infarction (Age unknown)

is indicated by an abnormal Q wave where the ST seg and T wave have returned to normal

Limit infarct size, reprofuse, and prevent complications

Goals and treatment of an MI include

Opioid/Morphine

Used to treat pain/discomfort from an MI

2-4 mg q.5-10 min, pushed over 5 min

Dose of morphine for a MI

0

Goal for pain level when treating an MI

discontinue

After an MI you should ________ all NSAIDA except ASA

< 90%, other signs of hypoxia

Only give O2 if SpO2 is _______ or there are ______

160-325, chewed

Give __________ mg of ASA and the tab should be ______

Indications for Fibrinolytic therapy

Significant ST elevation, time of onset >20 min <12h, caution death from brain hemorrhage esp if >75 yo

30 min

door to drug time for fibrinolytic therapy is

90 min

Door to treatment time for Percutaneous Transluminal Coronary Angioplasty (PTCA) is

90%

First try success rate of PTCA is

PTCA

The treatment of choice for STEMI if given with in 90 min of admission

STEMI (<90 min), NSTEMI, and Unstable Angina

PTCA can be use to treat

check for allergies to shellfish and iodine

Most important pre PTCA nursing responsabilty is

check for bleeding at site, check for reocclusion (by looking for raised or inverted ST seg), Encourage fluids, and Circ checks (distal to site

Improtant post PTCA nursing responsabilities

ACS with NO st seg elevation

indication for GPIIBIIIA inhibitors (antiplatelet agents)

ReoPro, Integrillin, and Aggrestat

examples of GPIIBIIIA

STEMI or NSTEMI once stable but not in early treatmetn

Indications for Beta Blockers for treatment of an MI

Rest of their life

how long will MI pts be on beta blockers

Rest of their life

How long will a MI pt be on ACE inhibitors

Acute Pain/discomfort

1st priority Nurs Dx of an MI is

Dysrhythmias

Most common complication of an MI

heart failure

2nd most common complication of an MI

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