Shared Flashcard Set

Details

Cardiac
N/A
15
Nursing
Undergraduate 2
11/01/2009

Additional Nursing Flashcards

 


 

Cards

Term
What assessment can a nurse preform to distinguish angina from MI?
Definition

Rest

Nitro

Term

Rationale for giving

 

Oxgyen

 

during angina and MI

Definition
  • Increases myocardial oxygen supply
Term

Rationale for giving

 

beta-blocker

 

during angina and MI

Definition
  • Antidysrhythmic
  • Antihypertensive
  • Reduces afterload to decrease myocardial oxygen consumption
  • Decreases infarct size
  • Improves survival rates
Term

Rationale for giving

 

ACE inhibitor

 

during angina and MI

Definition
  • Decreases afterload and therefore myocardial oxygen consumption.
Term

Rationale for giving

 

Stool Softener

 

during angina and MI

Definition
  • Reduces straining which could prcipitate MI
  • Reduces Vasovagal effect
Term

Rationale for giving

 

Nitroglycerin

 

during angina and MI

Definition
  • Reduces preload
  • Reduces afterload
  • Dilates coronary arteries
  • Increases myocardial oxygen supply
  • Reduces oxygen consumption
Term

Rationale for giving

 

Morphine

 

during angina and MI

Definition
  • Reduces preload by venous vasodilation decreasing myocardial consumption
  • Relieves pain
  • Decreases sympathetic nervous system stimulation
Term

Rationale for giving

 

Thrombolytic Agent

 

during angina and MI

Definition
  • Removes clot that is causing ischemia/infarction
Term
When is CK-MB first detectable?
Definition
  • 4-6 hrs
Term
When is Troponin I or T first detectable?
Definition
  • 3 hrs
Term
When is myoglobin first detectable?
Definition
  • 2 hrs
Term
CK expected duration of elevated levels
Definition
  • 3 days
Term
Troponin T expected duration of elevated levels
Definition
  • 14 - 21 days
Term
Troponin I expected duration of elevated levels
Definition
  • 7 - 10 days
Term
Myoglobin expected duration of elevated levels
Definition
  • 24 hrs
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