Flashcards in Adult - Cardiology III Deck (31):
Does nitroglycerin relieve MI pain?
it has very little effect
Does every patient with MI have ECG changes initially?
No - about 30% do not
When present, what are the ECG changes of MI?
peaked T waves
elevated ST segment
~ Q wave development
ECG changes in I, aVL indicate what MI location?
ECG changes in II, III, aVF indicate what MI location?
ECG changes in V leads,or V3 and V4 indicate what MI location?
Within 4 - 6 hours, what enzymes will be elevated after MI?
(second two are 100% cardio selective)
In order, what is acute management of MI?
What medication may be given for MI pain?
What medication may be given for pulmonary edema in MI?
If on coumadin, what is theraputic range of INR?
2 - 3 mg/dL
What are the coagulation studies?
Activated Coagulation Time
Partial Thromboplastin Time
What are the indications for clot busting with TPA?
aka pharmacologic revascularization / fibrinolytic
unrelieved chest pain (>30 min and <6 hours)
ST segment elevation
A partial or complete occlusion of a vein by thrombus with secondary inflammation to the wall of the vessel.
can be superficial or deep
What's going on in peripheral vascular disease?
decreased blood supply
Typical patient with peripheral vascular disease?
40 - 70 year old
Typical initial symptom of peripheral vascular disease?
What are physical findings of peripheral vascular disease?
shiny, hairless skin
Diagnositics for peripheral vascular disease?
arteriography - most definative test
Management of peripheral vascular disease?
exercise - 1 hour per day, rest during pain
weight reduction PRN
Medication management of peripheral vascular disease?
What's going on in chronic venous insufficiency?
impaired venous return
Is chronic venous insufficiency more common in men or women?
Typical complaint of chronic venous insufficiency?
ACHING relieved by elevation
EDEMA after prolonged standing
Physical findings in chronic venous insufficiency?
stasis leg ulcers
cool to touch
Diagnostics for chronic venous insufficiency?
Management of chronic venous insufficiency?
weight loss PRN
treatment of dermatitis or ulcers