Signs, Symptoms and Complications Flashcards
1
Q
What are the most common symptoms of MI?
A
- Chest pain - an ache like someone is sitting on them
- Pain radiating to arms and jaw
- SOB
- Sweating
- Clammy
- Pale
2
Q
What symptoms decrease the likelihood of it being an MI?
A
- Pleuritic pain
- Reproducable on palpation
- Positional
- Comes on with food
- GTN alleviates pain
3
Q
What are the signs of MI?
A
- Raised sympathetic tone - Hypertension, tachy
- Raised parasympathetic tone - Hypo, Brady, Belching, nausea
- Impaired LV function - Mitral regurg, lung crackles
- GTN works
4
Q
What are some complications of an MI?
A
- VF, VT, AF, heartblock
- Pericarditis (Dresslers)
- Another MI
- Heart necrosis and bleeding out
- Papillary muscle damage and murmurs
5
Q
What is the correct pre hospital management of an MI?
A
- 999
- Aspirin
- GTN if available
6
Q
What is the initial investigations when arriving to hospital?
A
ECG
Bloods
CV exam
7
Q
What is the initial treatment for all types of MI?
A
MONA
- Morphine
- O2 if below 94%
- Nitrates
- Aspirin
8
Q
What is the treatment for a STEMI after MONA?
A
Thombolysis (Plasminogen activator)
Cath lab intervention
9
Q
What is the treatment for NSTEMI after MONA?
A
Medication
No thrombolysis
10
Q
What is the long term medical treatment for post MI patients?
A
MI5
Aspirin
Clopidigrel
Statin
Ace inhibitor
B blocker
11
Q
When is Dresslers?
A
Post MI pericardits - widespread ST elevation
Raised ESR
