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PCI

Cardio 3

QuestionAnswer
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
Created by: drhermy
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