Flashcards in Myocardial Infarction Deck (14):
What is the cause of MI?
Decreased oxygen supply to the heart
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
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
• Vomiting-the vagus nerve is can be stimulated
MI pain is not relieved by ___ or ____
MI pain is not relieved by rest or nitroglycerin
What changes would you see on an EKG?
What lab values will be elevated?
What medications are given for an MI?
Mona= morphine, oxygen, nitroglycerin, aspirin
What activity is prescribed for this client?
What is Angina pectoris?
Chest pain due to the heart not receiving enough oxygen
Where is the pain located?
The same area of the chest as seen in myocardial infarction
What are some common cause of angina?
-Early-morning activity(shoveling snow)
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
What is unstable angina?
It is chest pain that occurs while the client is resting
How is angina diagnose? 5
coronary artery bypass
EKG with no ST elevation