Myocardial Infarction (MI) Flashcards
What is the cause of an MI?
Decreased oxygen supply to the heart
Where is the pain felt?
Substernal (sudden, crushing, radiating to jaw, shoulders, and back) and lasting longer than 30 minutes
MI pain is not relieved by___ or _____
Rest or Nitroglycerin
What changes would you see on an EKG?
ST elevation, inverted T waves
What lab values will be elevated?
CK-MB, CPK, Troponin, LDH, WBC
WHat medication are given for am MI?
M.O.N.A
Morphine O2 Nitroglycerin Asprin
What activity is prescribed for this client?
Bed rest
WHat is angina pectoris?
Chest pain due to the heart not receving enough oxygen
Where is the pain located?
The same area of the chest as seen in myacardial infarctions
What are some common causes of angina?
Early moring activity (shoveling snow), heavy meals, stress, exercise, and smoking
How stable angina different from an MI?
Chest pain that has a typical onset location, lasts for three to five minutes and is relieved by nitroglycerin/ rest
What is unstable angina?
it is chest pain that occurs while the client is resting
How is angina diagnosed?
Cardiac cath, cotonary artery bypass, exercise/thallium stress test, EKG with no ST elevation
What should you teach a client who has angina?
How to take nitro for pain ( can take up to three tabs SL)
Diet modification (low cholesterol)
Exercise
Stop Smoking
