symptoms and interventions
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
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| Where may your patient with myocardial ischemia have pain? | Chest, neck, jaw, shoulder, or arm (typically left sided)
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| Aside from pain, what other signs/symptoms may your patient with myocardial ischemia have? | Chest pressure, SOB, N/V, hiccups, tachycardia, and crackles
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| What changes can be seen on the ECG if your patient has myocardial ischemia? | Depressed ST Segments and possibly Flipped T-Waves
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| 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)
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| 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
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| 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.
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| What do you do if your patient is flashing? | L M N O P
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| L = ? | Lasix
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| M = ? | Morphine
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| N = ? | Nitrates
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| O = ? | Oxygen
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| P = ? | Position (high fowlers with pillows elevating arms to decrease work of breathing)
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