Acute Coronary Sydrome And Stroke Flashcards
(34 cards)
ECG Electode Placement: where does RA, RL, LA and LL leads go?
RA - right arm
RL - right leg
LA - left arm
LL- left leg
ECG Electode Placement: V1?
Right side. 4th rib. Just right of medial-sternum.
ECG Electode Placement: V2
Opposite V1
4th rib. To left of medial-sternum.
ECG Electode Placement: V3?
5th rib. Next to V2. Before midclavicular line.
ECG Electode Placement: v4
Left midclavicular line on 6th rib.
ECG Electode Placement: V5.
Between midclavicular line and madaxillary line.
ECG Electode Placement: v6
Midaxillary line.
What is a cardiac arrhythmia?
Irregular HR when electrical signal of the heart doesn’t work properly. Can cause slow HR. Fast HR. Or irregular.
Types of cardiac arrhythmia?
AF atrial fibrillation
Aftrial flutter.
Supraventricular tachycardia SVT
VT ventricular tachycardia
VF Ventricular fibrillation
When measuring a ECG look at:
Rate
Rhythm
P Wave
P/QRS relationship
PR interval
QRS complex
T Wave
Acute Myocardial Infarct (AMI) is?
Blocked blood vessel and threatens damage to heart muscle and function.
What is a STEMI?
Most serious.
Complete blockage of major coronary artery.
What is NSTEMI?
Partial blockage of coronary artery.
What is angina?
Causes by decreased blood flow to the heart.
What is unstable angina?
Accelerating pattern of chest discomfort, more dangerous than angina due to changing severity in partial coronary artery blocks.
Symptoms of Acute Coronary Syndrome
Chest pain that is suddenly and continued despite rest and medications (NG spray)
SOB
Indigestion
Nausea
Anxiety
^ RR
^ HR
Cold skin that is pale and moist
Clinical AX for suspected Acute Coronary Syndrome?
Vitals
12 lead ECG
Pathology - including serial cardiac enzymes, bio markers (myoglobin, troponin, creative kinase)
What is Takostuba Cardiomyopathy? And symptoms of it?
Broken Heart Syndrome.
Caused by a stressful event and Mimics MI with Acute onset chest pain with ST elevation in precordial leads on ECG
What is a CVAD?
Central Venous Access Device
What vein do CVADs go in?
Subclavian or jugular veins.
Why do pt’s get CVADs?
Provide direct venous access.
Most commons CVADs?
PICC line
What to think about with a CVAD Dx change?
Direct access to blood stream so ⬆️ potential for infection.
PICC line care steps:
ANTT
2 min hand wash
Sterile field
Clean site with 2% ETOH chlorhexidine from site outwards in concentric circles.
Allow to air dry ⬆️30 secs.
