Wk 5 MI PowerPoint/1 Flashcards

(45 cards)

1
Q

non specific EKG is to

A

unstable angina

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2
Q

prinzmetal angina is common when

A

cold weather from vasoconstriction - more of a spasm

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3
Q

HDL should be in

A

40s

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4
Q

stable angina - vasodilation happens when

A

the increased demand for oxygen subsides

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5
Q

STEMI EKG readings

A

ST elevates on EKG or new LBBB

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6
Q

use beta blockers during angina to do what

A

slow down HR and help refill with more blood to perfuse tissue

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7
Q

where on heart does NON STEMI take place

A

smaller portions of the heart where arteries have branched off; smaller MI

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8
Q

1 test for pt with chest pain

A

12 leak ekg

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9
Q

dead tissue that won’t regenerate

A

infarction

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10
Q

occluding thrombus sufficient to cause tissue damage and mild myocardial necrosis

A

N stemi

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11
Q

used to manage prinzmetal angina

A

CCB

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12
Q

CPK measures

A

tissue breakdown

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13
Q

when ischemia is prolonged and not immediately reversible, what develops

A

ACS - acute coronary syndrome

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14
Q

what does it mean that UA is non predictable

A

doesn’t go away with rest or oxygenation; eventually does reoxygenate

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15
Q

homocysteine should be under what

A

3

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16
Q

long acting nitrates

2

A
  1. nitro ointment

2. transdermal controlled-release nitroglycerin

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17
Q

JVD is normal when

A

supine, but at 30-45 degrees should be absent

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18
Q

CK-MB

A

marker for MI

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19
Q

non occlusive thrombus is to

A

unstable agina

20
Q

cardiac event in family before the age of what is a red flag

21
Q

n stemi cardiac enzymes

22
Q

ED drugs that can’t be taken with nitro

23
Q

is UA predictable

A

no - it’s non predictable

24
Q

most specific cardiac enzyme elevated during MI

25
nitrate patches are on for how long
12 hours on and 8 hours off so they don't lost their potency
26
trop I time frame | 4
rises 3-12 hours after MI lasts 14 days sensitive 85% of the time specificity 80%
27
NON stemi EKG readings | 2
1. ST depression | 2. T wave inversion
28
normal cardiac enzymes is to
UA
29
ACS encompasses | 3
Unstable angina UA NSTEMI STEMI
30
slow down HR and help refill with more blood to perfuse tissue
beta blockers
31
clinical manifestations of MI | 6
1. initially increase in HR and BP, then decrease in BP 2. crackles 3. JVD 4. abnormal heart sounds 5. NV 6. fever
32
total cholesterol should be under
200
33
nitro is broken down easily by
light, sun, heat
34
tissue can regenerate
ischemia
35
trop T time frame
rises 3-12 hours after MI lasts 10 days sensitivity 90% specificity 95%
36
chronic stable angina drug therapy goal is to
decrease oxygen demand and/or increase oxygen supply
37
ST depression and or T wave inversion on EKG
NON STEMI
38
LDL should be under what
100s
39
CRP over what is considered high
over 3 mg/L
40
complete thrombus occlusion
stemi
41
use CCB when what
b-adrenergic blockers are poorly tolerated, contraindicated, or do not control anginal symptoms
42
momentary blockage that needs increased oxygen during predictable moment i.e. getting up to walk to mailbox, getting chest pain, and then sitting on couch and it goes away
stable angina
43
drugs that end in -fil are what
ED drugs and can't be taken with nitro
44
mild occlusion is to
non stemi
45
common s/s of nitro and is not a concern
headache