ACS Treatment

Question 0

med given to ⬇️ pain & anxiety

Answer 0

morphine

Question 1

which 3 categories of meds are given to tx ACS

Answer 1

analgesics
ACE inhibitors
Thrombolytics

Question 2

med given to ⬇️ ❤️ workload in ⬆️ oxygenation

Answer 2

morphine

Question 3

what should you monitor for in a pt given morphine

Answer 3

⬇️ BP & RR

Question 4

which type of med prevents the conversion of angiotensin I to angiotensin II

Answer 4

ACE inhibitors

Question 5

med given to:
⬇️ BP
⬆️ Na & fluid excretion
⬇️ O2 demand of the ❤️

Answer 5

ACE inhibitors

Question 6

what should be checked prior to administration of ACE inhibitors

Answer 6

hypotension
hyponatremia
hypovolemia
hyperkalemia

Question 7

what should be monitiored after administering ACE inhibitors

Answer 7

BP
UO
Na
K
creatinine

Question 8

med given to dissolve thrombus in a coronary artery

Answer 8

thrombolytics

Question 9

this category of med should be given w/in 3-6 hours of s/s onset

Answer 9

thrombolytics

Question 10

this category of med should be given 30 mins door to needle

Answer 10

thrombolytics

Question 11

what are the 2 types of thrombolytics used

Answer 11

activase

reteplase

Question 12

tx that opens occluded coronary artery & promotes reperfusion to that area

Answer 12

emergency PCI

Question 13

tx 60 mins door to balloon time

Answer 13

emergency PCI

Question 14

which type of MI is an emergency PCI used for

Answer 14

STEMI

Question 15

which type of med ⬇️ afterload, preload, & BP

Answer 15

ACE inhibitors

Question 16

what type of meds are:
catopril
enalapril
lisinopril

Answer 16

ACE inhibitors

Question 17

which type of med ⬇️ afterload & BP

Answer 17

Angiotensin II receptor blockers

Question 18

type of med:
losartan
diovan
hyzaar

Answer 18

Angiotensin II receptor blockers

Question 19

what should you monitor for w/ angiotensin II receptor blockers

Answer 19

hypotension
dry cough
rash
⬆️ K, ⬇️ Na

Question 20

what are the 2 oral antiplatelet agents

Answer 20

aspirin

plavix

Question 21

what are the 2 IV antiplatelet agents

Answer 21

aggrastat

integrilin

Question 22

what are the risk factors with oral antiplatelets

Answer 22

bleeding

GI distress

Question 23

what are the risk factors with IV antiplatelets

Answer 23

bleeding

stroke

Question 24

what type of med prevents conversion of prothrombin ➡️ thrombin; fibrinogen ➡️ fibrin (prevents clot growth/formation)

Answer 24

anticoagulants

Question 25

what are the 2 anticoagulants

Answer 25

heparin | lovenox

Question 26

what is the normal aPTT time

Answer 26

20-35 seconds

Question 27

what is the normal heparin level

Answer 27

< 0.10

Question 28

what is an adverse effect of anticoagulants

Answer 28

Heparin induced thrombocytopenia

Question 29

what is the reversal agent for HIT

Answer 29

protamine sulfate

Question 30

what type of med ⬇️ O2 demand by ⬇️ the force of contractions

Answer 30

beta blockers

Question 31

what type of med improves filling time by ⬇️ AV node conduction

Answer 31

beta blockers

Question 32

what type of med ⬇️ afterload by vasodilating peripheral vessels

Answer 32

beta blockers

Question 33

``` what category of med: metoprolol atenolol propanonol nadolol labetalol ```

Answer 33

beta blockers

Question 34

what is something to be careful of w/ beta blockers

Answer 34

hypoglycemia

Question 35

which type of med ⬇️ myocardial O2 demand by ⬇️ contractility

Answer 35

calcium channel blockers

Question 36

what type of med prevents/treats coronary artery spasm

Answer 36

calcium channel blockers

Question 37

``` type of med: cardizem calan amlodipine procardia ```

Answer 37

calcium channel blockers

Question 38

what type of med is important to asses for hypotension, orthostatic changes, & bradycardia

Answer 38

calcium channel blockers

Question 39

what type of med ⬇️ myocardial O2 demand by vasodilating peripheral vessels

Answer 39

nitrates

Question 40

what is important to assess for with nitrates

Answer 40

hypotension | headache

Question 41

what type of med activates the fibrinolytic system to generate plasmin & breakdown fibrin clots

Answer 41

fibrinolytics

Question 42

what do fibrolinics end in

Answer 42

-ase

Question 43

what is a procedure to open narrowed coronary artery

Answer 43

percutaneous transluminal coronary angioplasty (PTCA)

Question 44

which procedure inflates a balloon to dilate arteries and improve bloodflow to the ❤️

Answer 44

PTCA

Question 45

which procedure involves open ❤️ surgery; a BV from another part of the body is grafted to the coronary artery lesion

Answer 45

coronary artery bypass graft (CABP)

Question 46

which procedure provides mechanical O2 & circulation for systemic perfusion

Answer 46

cardiopulmonary bypass

Question 47

how is the ❤️ paralyzed during pulmonary bypass

Answer 47

potassium solution