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Pharm Test 3
Angina, MI, CVA
17
Nursing
Undergraduate 4
04/18/2010

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Cards

Term
Types of Angina
Definition
1. Stable/Predictable
2. Prinzmetal's/Vasospasm
3. Silent/No s/s
4. Unstable/pain/unpredictable
Term
MI
Definition
Coronary thrombosis, spasm, or trauma
Arteritis
Congential coronary artery problems

S/S: CP, radiate, crush
Atypical: Women, DM
Term
Immediate MI treatment
Definition
*OANM*
1. O2 NC 4L (Careful COPD)
2. Nitro SL/spray if >90
3. ASA 325 mg
4. IV Morphine if pain not relieved
Term
When treating an MI...
Definition
Immediate VS, ECG, O2

ASA even if HRF bleed
90 SBP Nitro
Careful w/ Levitra, Viagra, Cialis
Term
Metoprolol
Definition
Beta blocker
Cardioselective
Contraindicated: Wheeze, apical <55
Term
Nitro
Definition
Decreases pain
Dilates veins
Decreases venous return, preload, afterload
Dilates coronary arteries
Decreases cardiac collateral flow

Can be used for Pulm edema if SBP>100
Term
Nitro administration
Definition
SL: 0.3-0.6 q 5 min
SL spray: 0.3-0.6 q 5 min
Paste: NO HAIR; 1-2 in w/ pad
Term
Nitro caution
Definition
SBP <90
Lie down
Side fx: H/A, low BP, syncope, increased HR
Term
Aspirin
Definition
When MI suspected
1 325 mg chew
Contraindicated: Asthma, ulcer, hypersensitivity
Term
Why do we need to reduce pain in an MI?
Definition
Pain produces catecholamines, which increase HR, BP, and O2 demand
Term
Morphine
Definition
Decreases: Pain, anxiety, SVR
Can be used for pulm edema
Need SBP >90
Term
Morphine administration
Definition
1-3 mg IV q 5 min
5-15 mg IM/SQ
Term
Morphine side fx
Definition
Low BP
Low RR
Low HR
N/V
Itching
Bronchospasm
Term
How do we reverse Morphine?
Definition
Narcan/Naloxone 1-2 mg IV
Term
Random MI meds (4)
Definition
Beta blockers
Heparin
Thrombolytics
ACEs
Term
Ischemic CVA S/S
Definition
Speech problems
Unilateral weakness
Vision disturbances
Term
Treatment for ischemic CVA
Definition
Prevent CVA: Antiplatelet, antiHTN

CVA in progress: Thrombolytics
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