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Flashcards in ACS Deck (16):
1

What is ACS?

Acute Coronary Syndrome

2

What is angina?

Temporary chest pain or sensation of pressure when the heart isn't getting enough oxygen causing ischemia

3

S/S of angina

Pain in either shoulder, inner arm, through to the back, in throat, jaw or teeth

4

Characteristics of unstable angina

occurs at rest or with exertion or stress

5

Diagnostics of angina

Symptoms and presence of risk factors

EKG

Nitro

Exercise/drug stress tests

Echocardiogram

Angiography

Cardiac cath

Holter monitor

6

What is the goal for angina?

Prevent or slow ischemia-by slowing progression of CAD

7

What does unstable angina lead to?

Myocardial Infarction (MI)

8

How do you slow progression of CAD?

-Treat HTN and cholesterol
-Lifestyle changes

9

What medications are used for angina?

Beta blockers

Nitrates

Calcium channel blockers

ACE inhibitors

Antiplatelet

Anticoags

Thrombolytics

Opioids

10

What is Myocardial Infarction (MI)?

Irreversible myocardial cell damage usually due to clot formation

11

How fast do cells begin to die with no oxygen?

20 minutes

12

Symptoms of MI

Pain-heaviness, tightness, burning, constriction, crushing
N/V
Fever

CV-abnormal heart sounds, elevated B/P then a drop, decreased urine output, crackles, jugular distention, peripheral edema

13

What is troponin?

Protein released from dead heart muscle

14

What is the goal for diagnostics when experiencing chest pain?

To differentiate between unstable angina and MI

15

Treatment for MI

Sit patient up!

MONA-keep O2 sat at 93%

Continuous vitals and EKG

IV!

Labs within 10 minutes of admission

16

Why would you give chewable aspirin?

Dissolves better and quicker