RECALL...
• Non ST Elevation Myocardial Infarction
• Partial thickness damage of heart muscle
• Complications: Arrhythmias
• ST Elevation Myocardial Infarction
• Full thickness damage of heart muscle
• Complications: Arrhythmias, Cardiogenic Shock, Embolism, HF, Mechanical rupture, Pericarditis
BOTH ARE CONSIDERED A TYPE OF ACUTE CORONARY SYNDROME
Which of the following interventions should be first priority when treating a client experiencing angina while walking?
A) Sit the client down
Which of the following is the most common symptom of an MI?
B) Get the client back to bed
C) Obtain an ECG
D) Administer SL Nitroglycerin
A) Dyspnea
B) Edema
C) Chest Pain
D) Palpitations
STABLE ANGINA vs. UNSTABLE ANGINA
- Treated with rest & Nitro
Which of the following results is the primary treatment goal of angina?
- Not cured with rest or Nitroglycerin
A) Reversal of Ischemia
B) Reversal of Infarction
C) Reduction of stress & anxiety
D) Reduction of pain
THIS IS A TYPE OF ACUTE CORONARY SYNDROME
SEEK MEDICAL HELP RIGHT AWAY
ASSESSMENT & Treatment In THE HOSPITAL..
- ABCs
- Vitals
- PAIN
- Targeted Hx.
- Cardiac Monitor & 12-Lead ECG
- IV Access
- Blood Work
A client arrives in the emergency with complaints of chest pain, and is diagnosed with acute MI. A morphine 4mg IV was given 5 minutes ago. Which of the following assessment made by the nurse indicates a further immediate action?
A) A Respiratory Rate from 20 to 12
B) A BP from 120/70 to 100/60
C) Chest pain 2/10
D) HR of 103 and normal sinus rhythm on an ECG
A patient arrives in the ER complaining of midsternal chest pain. Which of the following nursing actions should take priortity?
A) A complete history with preceding events
B) An ECG
C) Careful assessment of vitals
D) Chest exam with auscultation
Which of the following types of Angina is most closely related with an impending MI?
A) Stable Angina
B) NSTEMI
C) Unstable Angina
D) All of the above