Cardiac Word Scramble
|
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
Normal Size Small Size show me how
Question | Answer |
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