COMM 345 EXAM SCRIPT FINAL PAPER 2026
COMPLETE QUESTIONS AND ANSWERS REVIEW
▶ Beta1 BlockeRs (-olol). Answer: always check apical heart rate
▶ ACE Inhibitors → o p r i l. Answer: No NSAIDS
No salt substitute or K+ supplements
▶ nitroglycerin. Answer: Normal adverse effect = patient has a headache
Take 1 tablet, call 911 if not relieved, then take 2 more till ambulance
comes; don't exceed 3
▶ diagnosing acute MI. Answer: unrelieved with nitro
Serum troponin I (< 0.1 mcg/L)
▶ MI priorities. Answer: VS including O2 saturation
12 lead ECG (quickly!)
IV access (large bore in a large vein) - 2 IVs if possible
Blood sample for labs: CBC, cardiac enzymes and coagulation studies
▶ acute mi treatment. Answer: MONA
▶ Percutaneous transluminal coronary angioplasty (PTCA). Answer: Goal
- Increase blood flow to myocardium
Balloon catheter is inflated inside the artery
Coronary stent may be placed to keep artery open
▶ meds post- stemi. Answer: Aspirin
Clopidogrel
▶ indications for CABG. Answer: Unstable angina
AMI
Failure of PCI
▶ CABG (Coronary Artery Bypass Graft). Answer: Pre-op teaching
Pt can watch educational movie
Signed consent
Answer questions
COMPLETE QUESTIONS AND ANSWERS REVIEW
▶ Beta1 BlockeRs (-olol). Answer: always check apical heart rate
▶ ACE Inhibitors → o p r i l. Answer: No NSAIDS
No salt substitute or K+ supplements
▶ nitroglycerin. Answer: Normal adverse effect = patient has a headache
Take 1 tablet, call 911 if not relieved, then take 2 more till ambulance
comes; don't exceed 3
▶ diagnosing acute MI. Answer: unrelieved with nitro
Serum troponin I (< 0.1 mcg/L)
▶ MI priorities. Answer: VS including O2 saturation
12 lead ECG (quickly!)
IV access (large bore in a large vein) - 2 IVs if possible
Blood sample for labs: CBC, cardiac enzymes and coagulation studies
▶ acute mi treatment. Answer: MONA
▶ Percutaneous transluminal coronary angioplasty (PTCA). Answer: Goal
- Increase blood flow to myocardium
Balloon catheter is inflated inside the artery
Coronary stent may be placed to keep artery open
▶ meds post- stemi. Answer: Aspirin
Clopidogrel
▶ indications for CABG. Answer: Unstable angina
AMI
Failure of PCI
▶ CABG (Coronary Artery Bypass Graft). Answer: Pre-op teaching
Pt can watch educational movie
Signed consent
Answer questions
