Nurs 665 ACS and HF. Questions with Correct Answers

Nurs 665 ACS and HF

TIMI 0 - answer No perfusion, no ante grade flow beyond occlusion

TIMI 1 - answer Minimal penetration past occlusion without perfusion; incomplete filling
of vessel, no movement of contrast

TIMI 2 - answer Partial perfusion, slow flow of contrast through obstruction

TIMI 3 - answerComplete perfusion, normal flow distal to obstruction, adequate
clearance of contrast

0 markers - answer0.8% mortality

1 marker - answer1.6% mortality

2 markers - answer2.2% mortality

3 markers - answer4.4% mortality

4 markers - answer7.3% mortality

Killip I - answerincludes individuals with no clinical signs of HF

Killip II - answerincludes individuals with rales or crackles in lungs, S3, and elevated
jugular venous pressure

Killip III - answerindividuals with frank pulmonary edema

Killip IV - answerindividuals in cardiogenic shock or hypotension and evidence of
peripheral vasoconstriction

Nitroglycerin IV - answer5mcg/min, max 200mcg/min

Morphine - answer2-4mg with repeat 2-8mg Q5-15min

Aspirin - answer162-365mg loading, 75-162 daily, chewable initially for buccal
absorption

Atenolol - answer10mg IV then 100mg PO daily

Metoprolol - answer5mg IV q5min X 3 doses, 50mg PO q6h X 48h then 100mg po BID