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ACLS: Heart Ischemia
symptoms and interventions
| Question | Answer |
|---|---|
| Where may your patient with myocardial ischemia have pain? | Chest, neck, jaw, shoulder, or arm (typically left sided) |
| Aside from pain, what other signs/symptoms may your patient with myocardial ischemia have? | Chest pressure, SOB, N/V, hiccups, tachycardia, and crackles |
| What changes can be seen on the ECG if your patient has myocardial ischemia? | Depressed ST Segments and possibly Flipped T-Waves |
| If the Left Coronary arteries become ischemic, what leads will show changes? | V2,3,&4 (anterior area), as well as I,AVL, and/or V5-6 (lateral area) |
| What is happening to your patient who is SOB with ischemic changes showing on leads V2,3,&4 (anterior area), as well as I,AVL, and/or V5-6 (lateral area)of the ECG? | Flashing |
| What is actually happening during flashing? | Ischemic mitral regurgitation (blood backing up into the lungs)r/t ischemia of the papillary muscles and chordae Tendonae, secondary to decreased blood/O2 flow through the left coronary arteries. |
| What do you do if your patient is flashing? | L M N O P |
| L = ? | Lasix |
| M = ? | Morphine |
| N = ? | Nitrates |
| O = ? | Oxygen |
| P = ? | Position (high fowlers with pillows elevating arms to decrease work of breathing) |
Created by:
heart2heart
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