Myocardial Infarction Flashcards Preview

Remar Review > Myocardial Infarction > Flashcards

Flashcards in Myocardial Infarction Deck (14):
1

What is the cause of MI?

Decreased oxygen supply to the heart

2

Where is the pain felt for MI ?

May describe pain as ____________crushing__, an elephant sitting on their
chest, pressure radiating to the left arm and left jaw, N/V, or pain between their
shoulder blades.

Pain lasting longer than 30 minutes
________women usually present with GI signs and symptoms, epigastric
complaints or pain between the shoulders, an aching jaw or a choking sensation.

What is the #1 sign of an MI in the elderly? __shortness of breathe

• Cold/clammy/BP drops
• Cardiac output is going ___down_.

• ECG changes


You may see the following terms in a test question:
***WORRY ABOUT THE STEMI CLIENT***
STEMI: ST-Segment Elevation Myocardial Infarction-this indicates that the client is having a heart attack and the goal is to get them to the cath lab for PCI in less than 90 minutes.
NSTEMI: Non-Elevation ST Segment Myocardial Infarction-these clients are usually less
Worrisome


• Vomiting-the vagus nerve is can be stimulated

3

MI pain is not relieved by ___ or ____

MI pain is not relieved by rest or nitroglycerin

4

What changes would you see on an EKG?

ST elevation
inverted T-wave

5

What lab values will be elevated?

CK MB,

Troponin,

LDH,

WBC

6

What medications are given for an MI?

Mona= morphine, oxygen, nitroglycerin, aspirin

7

What activity is prescribed for this client?

Bed rest

8

What is Angina pectoris?

Chest pain due to the heart not receiving enough oxygen

9

Where is the pain located?

The same area of the chest as seen in myocardial infarction

10

What are some common cause of angina?

-Early-morning activity(shoveling snow)
-heavy metals
-stress
-exercise
-smoking

11

How is stable angina different from an MI?

Chest pain that has a typical on onset location

Last for 3 to 5 minutes and is relieved by nitroglycerin/rest

12

What is unstable angina?

It is chest pain that occurs while the client is resting

13

How is angina diagnose? 5

Cardiac Cath,

coronary artery bypass

Exercise/thallium

Stress test

EKG with no ST elevation

14

What should you teach a client who has angina? 4 things

How to take nitro for pain

Diet modification low cholesterol

Exercise

Stop smoking

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