Welcome to Scribd, the world's digital library. Read, publish, and share books and documents. See more
Download
Standard view
Full view
of .
Save to My Library
Look up keyword
Like this
1Activity
0 of .
Results for:
No results containing your search query
P. 1
test_2_outline[1]

test_2_outline[1]

Ratings: (0)|Views: 379|Likes:
Published by mara5140

More info:

Published by: mara5140 on Dec 22, 2008
Copyright:Attribution Non-commercial

Availability:

Read on Scribd mobile: iPhone, iPad and Android.
download as DOC, PDF, TXT or read online from Scribd
See more
See less

05/09/2014

pdf

text

original

Test 2 Outline
1
Cardiac Enzymes
Troponin-
\u2022
Highly specific
\u2022
1st to increase with specificity
Myoglobin-
\u2022
Increase 1-2hr after MI
\u2022
First to increase buts lack specificity
CK-MB-
\u2022
>5% of total CK = highly indicative of MI
\u2022
Increase 3-12 hr after MI
Serum Lipids:
\u2022
Cholesterol
o
Norm 120-200
\u2022
Triglycerides
o
Norm 40-190
\u2022
Lipoproteins
o
LDL = <130
o
HDL = 37-70 (men)
\ue00040-88 (women)

CAD
General category of atherosclerosis
Slow occurring = collateral circulation

Drug Therapy- administer separate times from other meds
to decrease adverse effects
\u2022
Resins
o
Questran
o
Colestid
o
Welchol
o
Colybar
\u2022
Statin\u2019s
\u2022
Fibric Acid derivatives
o
Atromid
o
Tricor (don\u2019t take with Statin\u2019s)
o
Lopid
\u2022
Niacin with diet therapy
\u2022
Zetia
Nutritional Therapy
\u2022
Step 1 diet
o
Decrease saturated fats
o
Decrease cholesterol
o
Decrease ETOH
o
Decrease simple sugars
\u2022
Step 2 diet
o
Further restricts saturated fats and cholesterol
Test 2 Outline
2
MI
\u2022
Angina = easily relieved by Nitro, O2, rest
o
Stable Angina
o
Unstable Angina
\u2022
Occurs @ rest or minimal exertion
o
Prinzmetal\u2019s Angina
\u2022
Primarily @ rest, triggered by smoking
o
Nocturnal Angina
\u2022
@ night
o
Angina Decubitus
\u2022
Occurs when lying down
\u2022
ACS (Acute Coronary Syndrome) = prolonged and not
immediately reversible
o
STEMI
o
NSTEMI
\u2022
Normal heart can withstand lack of O2 for 20 mins =
cellular death occurs
\u2022
TX when presents to ED
o
MONA
o
2 IV\u2019s KVO
o
Inotropic\u2019s- Dig (caution b/c increase workload)
o
Beta blockers- dilates, blocks epi & norepi
o
Ca+ channel blockers- calms cells (Norvasc,
Cardizem)
o
ACE inhibitors
Complications of MI:
\u2022
Arrhythmias (Lethal)
\u2022
CHF
\u2022
Cardiogenic Shock
\u2022
PE
\u2022
Dressler\u2019s (Pericarditis c effusion & fever 1-4 wks p
MI)
\u2022
Pericarditis

Heparin= antidote Promatine Sulfate
Coumadin = Vit. K
Ptt= 1 \u00bd - 2 \u00bd the control

Test 2 Outline
3
Premature Atrial Contractions
(PAC)
\u2022
a normal QRS complex
\u2022
a normal T wave repolarization (not inverted to the
other T waves)
\u2022
an odd, misshapen P wave depolarization
\u2022
P-wave hidden in t-wave
Premature Ventricular Contraction
(PVC)
Tx: lidocaine
Ventricular Tachycardia
100-200 bpm
>200 = SVT= narrow QRS
\u2022
vagal down
\u2022
adenocard (squeeze IV bag when pushing)
causes asystole
Agnol
\u2022
QRS T wide
\u2022
Aystole quickly follows

You're Reading a Free Preview

Download
/*********** DO NOT ALTER ANYTHING BELOW THIS LINE ! ************/ var s_code=s.t();if(s_code)document.write(s_code)//-->