Which of the following sets of labs should the nurse anticipate 6 hours after the onset
of chest pain from a myocardial infarction?
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increased CK-MG and Troponin I
What is a characteristic of pulmonary edema secondary to left sided heart failure?
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frothy or pink tinged sputum
* green or brown sputum may indicate infection
Septal wall- leads affected and vessel involved
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V1 and V2 - Septal branch of the LAD
cardiogenic shock s/s
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hypoxia, hypotension, decreased urine output, cold clammy skin,
diminished pulses, dyspnea
NTG helps to...
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dilates coronary arteries, reduces preload, and reduces afterload at higher
doses.
,Anterior wall- leads affected and vessel involved
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V3 and V4 - LAD and diagnosed branch of the LAD
What can you do to differentiate between cardiac and noncardiac chest pain?
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Ask patient to describe and quantify the pain. (its important to both
quantify (rate 1-10) and qualify (describe type of pain) pain with each
episode of pain)
Reperfusion therapy treatment for STEMI
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Urgent PCI
Urgent CABG
Fibrinolytics
Syncope questions
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, have you had any dizziness or lightheadedness?
If so, did you also have other symptoms such as chest pain, nausea,
sweating, palpitations, numbness, ear ringing, headache, or rapid heart rate
at the same time?
Inotropic support in cardiogenic shock
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Dopamine- provies inoptropic support but may increase myocardial
oxygen demand
dobutamine- may be preferable, as it has less effect on myocardial oxygen
demand, but it can cause tachycardia. IT also provides mild peripheral
vasodilation
Milrinone- has positive inotropic effects and decreases afterload through
peripheral vasodilation
Milrinone is less likely to increase myocardial oxygen demand or heart rate,
but may necessitate concomitant vasopressor administration to maintain
sufficient MAP
What can a decrease in urine output indicate?
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diminished flow to the renal arteries, fluid retention, fluid depletion, or renal
disease.
What is an S4 sound associated with?
of chest pain from a myocardial infarction?
Give this one a try later!
increased CK-MG and Troponin I
What is a characteristic of pulmonary edema secondary to left sided heart failure?
,Give this one a try later!
frothy or pink tinged sputum
* green or brown sputum may indicate infection
Septal wall- leads affected and vessel involved
Give this one a try later!
V1 and V2 - Septal branch of the LAD
cardiogenic shock s/s
Give this one a try later!
hypoxia, hypotension, decreased urine output, cold clammy skin,
diminished pulses, dyspnea
NTG helps to...
Give this one a try later!
dilates coronary arteries, reduces preload, and reduces afterload at higher
doses.
,Anterior wall- leads affected and vessel involved
Give this one a try later!
V3 and V4 - LAD and diagnosed branch of the LAD
What can you do to differentiate between cardiac and noncardiac chest pain?
Give this one a try later!
Ask patient to describe and quantify the pain. (its important to both
quantify (rate 1-10) and qualify (describe type of pain) pain with each
episode of pain)
Reperfusion therapy treatment for STEMI
Give this one a try later!
Urgent PCI
Urgent CABG
Fibrinolytics
Syncope questions
Give this one a try later!
, have you had any dizziness or lightheadedness?
If so, did you also have other symptoms such as chest pain, nausea,
sweating, palpitations, numbness, ear ringing, headache, or rapid heart rate
at the same time?
Inotropic support in cardiogenic shock
Give this one a try later!
Dopamine- provies inoptropic support but may increase myocardial
oxygen demand
dobutamine- may be preferable, as it has less effect on myocardial oxygen
demand, but it can cause tachycardia. IT also provides mild peripheral
vasodilation
Milrinone- has positive inotropic effects and decreases afterload through
peripheral vasodilation
Milrinone is less likely to increase myocardial oxygen demand or heart rate,
but may necessitate concomitant vasopressor administration to maintain
sufficient MAP
What can a decrease in urine output indicate?
Give this one a try later!
diminished flow to the renal arteries, fluid retention, fluid depletion, or renal
disease.
What is an S4 sound associated with?
