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ATN
acute glonerulonephritis
vascular disease
tubular obstruction
dye
Mechanical complication of MI
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ventricular septal rupture
left ventricular free wall rupture
mitral regurgitation
pericardial complication
, thromboembolic and bleeding complications
dysrhythmias
goals of cardiogenic shock tx
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minimize myocardial workload and max myocardial oxygen delivery
Synergy model
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A model of care delivery adopted by the American Association of Critical-
Care Nurses that matches the needs and characteristics of the patient with
the competencies of the nurse. Seven characteristics are unique to every
patient, and each nurse has varying levels of ability, which are categorized
into eight competencies. When the knowledge, skills, and competencies of
the nurse are used to meet the complex needs of the patient and family,
the care is optimal.
issues with restraints in critically ill pts
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, forced immobilization which can cause:
-skin alteration
-loss of muscle tone
-nerve damage
-pneumonia
indications for PCI
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-alleviate angina pectoris unrelieved by medical tx
-to reduce risk of MI in symptomatic and asymptomatic pts
-at least 70% narrowing of coronary arteries
-surgical risk factors
-totally occluded vessel
-pts who have had CABG with recurring S/S
What is useful in determining the dx and prognosis of ACS?
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biomarkers
cardiac-specific troponin is preferred marker to obtain in ALL patients who
present with chest discomfort consistent with ACS
should be obtained 3-6 hours after symptom onset
Hemodynamic monitoring of MI pt
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