Acute Coronary Artery Syndrome

What are the three main types of ACS

STEMI

NSTEMI

Unstable angina- Partial blockage that does not cause ischemia or elevated troponin

Treatment for ACS

MONA

-Morphine

-Oxygen

-Nitro (coronary artery dilator)

-Aspirin

Anticoagulants

Percutaneous coronary intervention (PCI)

Coronary artery bypass graft (CABG)

What’s a percutaneous coronary intervention (PCI)?

Minimally invasive catheter placed in an artery and threaded to the occluded vessel

A balloon or stent is used to open the vessel and restore blood flow

What’s a coronary artery bypass graft (CABG)?

Highly invasive open heart surgery where a new vessel is used to bypass a damaged vessel to the heart.

Nursing care post-op PCI

Monitor puncture site and distal limb to puncture site. (q15 in first hour)

Maintain bed rest for 8 ish hours with HOB no higher than 30°

Encourage fluids/give IV fluids to flush out contrast

Nursing care post-op CABG

Frequent hemodynamic monitoring

Chest tube management

Pulmonary hygiene post intubation

Ambulating post intubation