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ACLS: Heart Ischemia

symptoms and interventions

QuestionAnswer
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