Flashcards in 16)Ischemic heart disease - management of the acute myocardial infarction complicated with rhythm and conduction disorders, with hypo- and hypertension, with heart failure. Deck (11):
if the ischemia affects the right coronary artery what is this importantly feed ?
cells of the san node
ischemia and necrotic cells cannot control their ion currents across their membranes become electrically unpredictable
ischemia can also affect the conductive system
what is the management of acute myocardial infraction with ventricular tachycardia ?
lidocaine thorugh iv - class 2
CNS excitation: nervousness, agitation
CNS depression- respiratory depression
headache , dizziness
amiodarone - class 3
peripheral phlebitis ,
long term - pulmonary fibroiis , thyroid abnormalities
what is the management with atrial fibrillation ?
gynecomastia , dizziness and changes in mood
AV branch block 1st degree treatment
1st degree is monitoring
ІІ degree Wenckebach type significant bradicardia treatment
atropine - antimuscuranic
dry mouth, large pupils , urinary retention
if no effect - temporary electrocardiostimulation
ІІ degree type Mobitz II and III degree AV block in combination with HR bellow 40/min or hypotension or heart failure treatment ?
heart failure can occur if the myocardial infraction is large has what treatment
mild and moderate heart failure - furosemide
result not sufficient fusion with nitroglycerin
if sever heart failure to shock - give oxygen therapy
follow up by blood gas analysis
presence of hypotension - reduced kidney perfusion - dopamine and
pulmonary congestion - dobutamine
is papillary muscle rupture or valvular problems ?
if there is septal rupture ?
rupture of the myocardium treatment ?