part 10

Question 1

this med is only used for STEMI

Answer 1

fibrinolytics

tenectapase (TNKase) and Altepase (activase)

Question 2

if more than 3 occlusions what procedure is necessary?

Answer 2

CABG

Question 3

What are the complications of an MI?

Answer 3

-dysrhythmias (most common): tacky, brady, irregular, V-fib is lethal, disruption of intrinsic rhythm
-pulmonary congestion:
cariogenic shock: left vent failure, tissues become deprived of O2
-papillary muscle dysfunction: infarct at or near mitral valve muscles
-ventricular aneurysm: infarcted wall becomes thin and weak
-pericarditis: inflammation of pericardium (2-3 days following MI) assess friction rub

Question 4

What is the main cause of sudden cardiac death?

Answer 4

acute ventricular dysrhythmia, high incidence of reoccurrence

• 24 hour hotter monitor
• implantable cardioverter defibrillator (ICD)