Myocardial Infarction Flashcards Preview

Remar Review > Myocardial Infarction > Flashcards

Flashcards in Myocardial Infarction Deck (14)
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1
Q

What is the cause of MI?

A

Decreased oxygen supply to the heart

2
Q

Where is the pain felt for MI ?

How long does pain last ?

A

Pain lasting longer than 30 minutes
1.)May describe pain as ____________crushing__, an elephant sitting on their
chest,

2.)pressure radiating to the left arm and left jaw,
3.)N/V, or
4.)pain between their
shoulder blades.

________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
Q

MI pain is not relieved by ___ or ____

A

MI pain is not relieved by rest or nitroglycerin

4
Q

What changes would you see on an EKG?

A

ST elevation

inverted T-wave

5
Q

What lab values will be elevated?

A

CK MB,

CPk

Troponin,

LDH,

WBC

6
Q

What medications are given for an MI?

A

Mona= morphine, oxygen, nitroglycerin, aspirin

7
Q

What activity is prescribed for this client?

A

Bed rest

8
Q

What is Angina pectoris?

A

Chest pain due to the heart not receiving enough oxygen

9
Q

Where is the pain located?

A

The same area of the chest as seen in myocardial infarction

10
Q

What are some common cause of angina?

A
  • Early-morning activity(shoveling snow)
  • heavy metals
  • stress
  • exercise
  • smoking
11
Q

How is stable angina different from an MI?

A

Chest pain that has a typical on onset location

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

12
Q

What is unstable angina?

A

It is chest pain that occurs while the client is resting

13
Q

How is angina diagnose? 5

A

Cardiac Cath,

coronary artery bypass

Exercise/thallium

Stress test

EKG with no ST elevation

14
Q

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

A

How to take nitro for pain

Diet modification low cholesterol

Exercise

Stop smoking

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