Save
Busy. Please wait.
Log in with Clever
or

show password
Forgot Password?

Don't have an account?  Sign up 
Sign up using Clever
or

Username is available taken
show password


Make sure to remember your password. If you forget it there is no way for StudyStack to send you a reset link. You would need to create a new account.
Your email address is only used to allow you to reset your password. See our Privacy Policy and Terms of Service.


Already a StudyStack user? Log In

Reset Password
Enter the associated with your account, and we'll email you a link to reset your password.
focusNode
Didn't know it?
click below
 
Knew it?
click below
Don't know
Remaining cards (0)
Know
0:00
share
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.

  Normal Size     Small Size show me how

Cardiac

Cardiac Nursing

QuestionAnswer
Immediate Treatment for an Acute MI MONA Morphine, O2, Nitroglycerine, ASA
3 Areas of Damage after MI Injury, Ischemia, Infarction
Infarction O2 deprived, irreversible damage, Q-wave on EKG, Transmural
Injury- MI Tissue viable if circulation remains adequate, Increasing O2 may save this area, S-T segment elevation on EKG
Ischemia MI Tissue may be viable and may not be damaged as long as MI is ended and provided collateral circulation can compensate, depressed S-T on EKG
Beta Blockers Usually end in OLOL, Block Beta Receptors in Heart (SNS) so decreases HR, Contractile Force, Rate of A-V conduction
Beta Blocker Side Effects Bradycardia, lethargy, GI disturbance, CHF,Decrease BP, Depression
Beta Blocker Names Atenolol (Tenormin), Propanolol (Inderol), Metoprolol (Lopressor)
Ace Inhibitors Decrease peripheral vascular resistance without increasing CO, HR, Contractility
Ace Inhibitor Side Effects Dizziness, Orthostatic Hypostension, GI Upset, Cough, Headache
Ace Inhibitor Names Captopril (Capoten), Enalapril (Vasotec), Benazpril (Lotensin)
Bradycardia And Drugs to Lower BP Isoproterenol, dopamine, Epinepherine, Atropine
Calcium Channel Blockers Block Calcium Access to Cells
Ca Channel Blocker Action Decrease Contractility, Decrease Conductivity of Heart, thus decreasing Demand for O2
Calcium Channel Blocker Side Effects Decrease BP, bradycardia, may precipitate A-V Block, Headache, Abdominal Discomfort (constipation, nausea), Peripehral Edema
Calcium Channel Blocker Names Verapamil, Nefedipine, Diltiazem (Very Nice Drugs mnemonic)
Beta 1 Blockers These beta blockers affect the heart
Beta 2 Blockers These beta blockers affect the lungs
Cardiac Enzymes CK/CPK, CK-MB, Myoglobin, Troponin, AST, LDH
CK/CPK Onset of Elevation (3-6 hours), Peak (10-30 hours) Return to baseline (3-4 days)
CK-MB Onset of Elevation (4-8 Hours), Peak (12-24 Hours), Baseline Return (3 days)
Myoglobin Onset of Elevation (2-6 hours), peak (8 hours), baseline (12-18 hours)
Troponin Onset of Elevation (1-5 hours), peak elevation (14-21 hours), baseline 7 days
AST Onset of Elevation (6 hours), Peak (12-14 hours), Baseline (4 days)
LDH Onset of Elevation (24-48 hours), Peak Elevation (3-6 days), Baseline 14 days
CK/CPK Does not elevate with CHF, Angina, PE
Myoglobin Released into circulation after injury, Used for early dx of MI (values double w/in 2 hours after onset of chest pain in acute MI) This lab is drawn when pt presents with chst pain and then in 2 hours.
Troponin Values greater than 1.5ng/ml Indicates Myocardial damage, Normal values do not rule out MI, values increase as early as one hour after onset of chest pain
Aspartate Aminotransferase (AST) Not necessarily specified for MI, when used in conjunction with CK-MB and LDH timing of MI can be predicted
LDH (lactic dehydrogenase) If LDH 1 > LDH 2 then positive for acute MI
BNP Stored in Ventricular myocardium, Levels increase with diastolic pressure increases. Elevated in CHF, Ventricular Hypertrophy, Severe HTN
ASA- During MI 324mg
ASA- Maintainence Dose 324mg
ASA- prophylactic Dose 81mg
Nitroglycerine Action Increase BF and stimulates blood flow to coronary artery, contraindicated in those using viagra as both vasodilate and could cause fatal hypotension and heart collapse
Morphine- action in MI decrease pain, bronchodilates to lessen MI dramatically
Beta Blocker in MI Standard unless BP extremely low then hold
Vasopressors- in heart disease Casise vasoconstriction to increase pressur in severe hypotension
Transmural MI Q-wave present, entire thickness is affected, often affects left ventricle, compromises cardiac efficiency
Non-Transmural MI Non-Qwave MI, S-T elevation and or depresion and possible T wave inversion
Created by: troutbaron
Popular Nursing sets

 

 



Voices

Use these flashcards to help memorize information. Look at the large card and try to recall what is on the other side. Then click the card to flip it. If you knew the answer, click the green Know box. Otherwise, click the red Don't know box.

When you've placed seven or more cards in the Don't know box, click "retry" to try those cards again.

If you've accidentally put the card in the wrong box, just click on the card to take it out of the box.

You can also use your keyboard to move the cards as follows:

If you are logged in to your account, this website will remember which cards you know and don't know so that they are in the same box the next time you log in.

When you need a break, try one of the other activities listed below the flashcards like Matching, Snowman, or Hungry Bug. Although it may feel like you're playing a game, your brain is still making more connections with the information to help you out.

To see how well you know the information, try the Quiz or Test activity.

Pass complete!
"Know" box contains:
Time elapsed:
Retries:
restart all cards