Cardio 3
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| difference between unstable angina and MI | myonecrosis | ||||
| site w/lowest risk of bleeding | radial A | ||||
| most common PCI site | femoral A | ||||
| used to define plaque morphology | IVUA | ||||
| used to measure pressure difference | FFR | ||||
| used to define vessel wall contours | OCT | ||||
| method of restenosis common with bare metal stents | neointimal hyperplasia | ||||
| need ASA for life and clopidogrel for at least 1 month | bare metal stents | ||||
| need ASA for life and clopidogrel for at least 1 year | drug eluding stents | ||||
| takes longer for scar to form over stent | drug eluding stents | ||||
| local hematoma | direct pressure on hematoma and give IV fluids | ||||
| indicated by bradycardia or tachycardia w/back pain and hypotension | retroperitoneal hematoma | ||||
| retroperitoneal hematoma | manual compression of puncture site, stop anticoagulants, and give IV fluids/transfusion | ||||
| not stopped w/retroperitoneal hematoma | antiplatelets | ||||
| pseudoaneurysm | manual compression or thrombin injection | ||||
| sicker pt, heart failure, poor renal function, more dye used | higher risk for acute renal failure | ||||
| acute renal failure | HYRDATE | ||||
| blue toe syndrome | aggressive ASA | ||||
| no driving | within 48 hrs | ||||
| monitor vitals, groin, renal function, and CBC | within 24 hrs | ||||
| MI goals for PCI | alleviate sx, dec MI size, dec mortality | ||||
| angina goals for PCI | alleviate sx | ||||
| evaluated using PCI | CHF, valvular heart disease, congenital heart disease | ||||
| type(s) of angina that indicates PCI | stable | ||||
| type(s) of coronary syn's that indicate PCI | acute (STEMI and NSTEMI) | ||||
| type(s) of chest pain that indicates PCI | nonspecific, with SOB |
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Created by:
Kelli B
on 2011-08-21