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Flashcards in Adams, CP, Shock Deck (31):
1

Familial risk factors pertaining to MI (age):

father

2

Familial risk factors pertaining to MI (age):

father

3

duration of sx to qualify as angina:

4

unstable angina vs stable:

increased duration, frequency, or intensity

new associated sx

occurs with less activity or at rest

5

ST elevation amount for MI:

at least 0.1 mV in all leads except V2 and 3 (0.2 mV)

6

difficulty in dx new MI with new LBBB?

LBBB have ST elevation normally

7

EKG in posterior MI?

ST depressions

8

High sensitivity Trop can still be normal in_______?

unstable angina

9

first tx of STEMI:

tPA

10

If pt can't take ASA in MI give?

clopidogrel

11

Medical management of MI in first 24 hours:

ACE inhibitors

Beta blockers

12

Definition of shock?

Hypoperfusion of vital organs

**especially the brain

13

lab marker elevated due to anaerobic metabolism in shock?

Lactic acid

14

duration of sx to qualify as angina:

15

unstable angina vs stable:

increased duration, frequency, or intensity

new associated sx

occurs with less activity or at rest

16

ST elevation amount for MI:

at least 0.1 mV in all leads except V2 and 3 (0.2 mV)

17

difficulty in dx new MI with new LBBB?

LBBB have ST elevation normally

18

EKG in posterior MI?

ST depressions

19

High sensitivity Trop can still be normal in_______?

unstable angina

20

first tx of STEMI:

tPA

21

If pt can't take ASA in MI give?

clopidogrel

22

Medical management of MI in first 24 hours:

ACE inhibitors

Beta blockers

23

Definition of shock?

Hypoperfusion of vital organs

**especially the brain

24

lab marker elevated due to anaerobic metabolism in shock?

Lactic acid

25

Loss of cellular integrity in shock leads to findings of (5)?

Hyperkalemia

Hyponatremia

Metabolic acidosis

Hyperglycemia

Lactic acidosis

26

What is SIRS?

systemic inflammatory response syndrome
-requires two of:

temp 38

pulse > 90

RR > 20

PaCO2 12,000 or at least 10% bands

***sepsis like disorder in absence of infx

27

Whats is MODS?

multi-organ dysfunction syndrome

28

Classic findings in shock?

hypotension (but not always)

cool clammy skin (if warm and flushed, more likely infx cause)

altered mental status

urine output

29

two easiest ways to monitor pt in shock

level of alertness

urine output

30

capillary wedge measures?

LV pressure

31

treatment for shock?

FLUIDS!!!

vasopressors (NE, epi, dopamine, dobutamine)