NR 571 MidTerm Study Set with 100% c
m m m m m m m
orrect answers m
What is high sensitivity troponin and when to use? -
m m m m m m m m m
answer first line test for cardiac cell damage
m m m m m m m m
used for initial injury
m m m
What is CKMB -
m m m
answer CK isoenzyme specific to cardiac muscle tissue (MI)
m m m m m m m m m
When should CKMB be used? -
m m m m m
answer for suspicion of secondary ischemia after an initial infarct
m m m m m m m m m m
normal level for Troponin I - answer <0.04
m m m m m m m
normal level for CKMB - answer 3-5% of total CK
m m m m m m m m m
What is BNP - answer B-type natriuretic peptide
m m m m m m m
Normal BNP levels - answer <100 pg/mL
m m m m m m
Differential for chest pain - answer Consider:
m m m m m m
Myocardium- angina, MI, myocarditis, heart failure
m m m m m
,Pericardium- pericarditis m
Aorta- dissecting aortic aneurysm
m m m
Trachea and bronchi- bronchitis
m m m
Parietal pleura- m
mpericarditis, pneumonia, pneumothorax, pleural effusion, pulmonar
m m m m m
y embolus
m
Chest wall- costochondritis, herpes zoster
m m m m
Esophagus- reflux, esophageal spasm, esophageal tear
m m m m m
Referred pain from elsewhere-
m m m
cervical arthritis, biliary colic, gastritis
m m m m m
Psych: anxiety attacks
m m
Revascularization in under ____ minutes - answer 90 m m m m m m m
Initial diagnostics for chest pain - answer 12-lead EKG
m m m m m m m m
Troponin q3h x3 at least m m m m
BNP - HFm m
CBC - baseline H&H and Plts
m m m m m
PTT, PT/INR - baseline coagulation status
m m m m m
BMP - renal function and lytes
m m m m m
TSH, Mg, and Phos
m m m
ECHO
Cath
,Requirements for STEMI dx - m m m m
manswer new ST elevation in 2 contiguous leads of >0.1 mV except V
m m m m m m m m m m m m
2&V3
elevated troponinm
STEMI findings in V2-V3 - answer >0.2mV in >40yo M
m m m m m m m m m
>0.25 mV in <40 yo M
m m m m m
>0.15 mV in women
m m m
Difference between NSTEMI and unstable angina -
m m m m m m
manswer NSTEMI involves Elevated Cardiac Bio markers (cell death
m m m m m m m m
)
NSTEMI & unstable angina tx - answer Dual antiplatelet therapy
m m m m m m m m m
Full-dose AC m
High-intensity statin m
BB
Nitrates
oxygen
pain medication
m
Dual antiplatelet therapy - answer DAPT
m m m m m
Aspirin (325 x1 = daily 81mg)
m m m m m
AND
, P2Y2 inhibitor m
clopidogrel or ticagrelor m m
full dose AC - answer SQ lovenox 1mg/kg BID
m m m m m m m m
if PCI planned of low GFR use heparin gtt
m m m m m m m m
50-70 units/kg bolus plus 12units/kg/hr titrated to PTT 1.5-
m m m m m m m m
2.5 x baseline
m m
High-intensity statin - answer atorvastatin 40- m m m m m
80 mg or rosuvastatin 20-40 mg
m m m m m
Considerations for BB avoiding BB use - answer HR <60 m m m m m m m m m
SBP <100 m
EF <30% m
PR >240 ms
m m
2nd or 3rd degree HB
m m m m
active asthma or reactive airway disease
m m m m m
COPD
Cocaine use m
When is NGT contraindicated? -
m m m m
answer RV infarct b/c it reduces preload
m m m m m m m
m m m m m m m
orrect answers m
What is high sensitivity troponin and when to use? -
m m m m m m m m m
answer first line test for cardiac cell damage
m m m m m m m m
used for initial injury
m m m
What is CKMB -
m m m
answer CK isoenzyme specific to cardiac muscle tissue (MI)
m m m m m m m m m
When should CKMB be used? -
m m m m m
answer for suspicion of secondary ischemia after an initial infarct
m m m m m m m m m m
normal level for Troponin I - answer <0.04
m m m m m m m
normal level for CKMB - answer 3-5% of total CK
m m m m m m m m m
What is BNP - answer B-type natriuretic peptide
m m m m m m m
Normal BNP levels - answer <100 pg/mL
m m m m m m
Differential for chest pain - answer Consider:
m m m m m m
Myocardium- angina, MI, myocarditis, heart failure
m m m m m
,Pericardium- pericarditis m
Aorta- dissecting aortic aneurysm
m m m
Trachea and bronchi- bronchitis
m m m
Parietal pleura- m
mpericarditis, pneumonia, pneumothorax, pleural effusion, pulmonar
m m m m m
y embolus
m
Chest wall- costochondritis, herpes zoster
m m m m
Esophagus- reflux, esophageal spasm, esophageal tear
m m m m m
Referred pain from elsewhere-
m m m
cervical arthritis, biliary colic, gastritis
m m m m m
Psych: anxiety attacks
m m
Revascularization in under ____ minutes - answer 90 m m m m m m m
Initial diagnostics for chest pain - answer 12-lead EKG
m m m m m m m m
Troponin q3h x3 at least m m m m
BNP - HFm m
CBC - baseline H&H and Plts
m m m m m
PTT, PT/INR - baseline coagulation status
m m m m m
BMP - renal function and lytes
m m m m m
TSH, Mg, and Phos
m m m
ECHO
Cath
,Requirements for STEMI dx - m m m m
manswer new ST elevation in 2 contiguous leads of >0.1 mV except V
m m m m m m m m m m m m
2&V3
elevated troponinm
STEMI findings in V2-V3 - answer >0.2mV in >40yo M
m m m m m m m m m
>0.25 mV in <40 yo M
m m m m m
>0.15 mV in women
m m m
Difference between NSTEMI and unstable angina -
m m m m m m
manswer NSTEMI involves Elevated Cardiac Bio markers (cell death
m m m m m m m m
)
NSTEMI & unstable angina tx - answer Dual antiplatelet therapy
m m m m m m m m m
Full-dose AC m
High-intensity statin m
BB
Nitrates
oxygen
pain medication
m
Dual antiplatelet therapy - answer DAPT
m m m m m
Aspirin (325 x1 = daily 81mg)
m m m m m
AND
, P2Y2 inhibitor m
clopidogrel or ticagrelor m m
full dose AC - answer SQ lovenox 1mg/kg BID
m m m m m m m m
if PCI planned of low GFR use heparin gtt
m m m m m m m m
50-70 units/kg bolus plus 12units/kg/hr titrated to PTT 1.5-
m m m m m m m m
2.5 x baseline
m m
High-intensity statin - answer atorvastatin 40- m m m m m
80 mg or rosuvastatin 20-40 mg
m m m m m
Considerations for BB avoiding BB use - answer HR <60 m m m m m m m m m
SBP <100 m
EF <30% m
PR >240 ms
m m
2nd or 3rd degree HB
m m m m
active asthma or reactive airway disease
m m m m m
COPD
Cocaine use m
When is NGT contraindicated? -
m m m m
answer RV infarct b/c it reduces preload
m m m m m m m
