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When is comes to an MI what could that indicate
complete occlusion
What are the three things that indicate the patient is actively having an mi
ST elevation
T wave inversion
Large Q wave
What are two things that indicate the patient had previously had an MI
ST depression
CM of MI
JVD
Chest pain
JVD could indicate the patient has…
RHF
If a pt is presenting with chest pain what is the nurse going to do
assess pain and do a 12 lead ekg
If a pt comes in to the ER and complains of chest pain for 30 min what should the nurse order
Serial enzymes to check for troponin q 6hrs
▪Patient has clinical manifestations of coronary ischemia, but ECG and biomarkers show no evidence of AMI
Unstable angina
Whats the difference that a NSTEMI has vs STEMI
NSTEMI has elevated troponin but does not show anything on the EKG
Side effects of TPA is…
Bleeding
When giving ACE inhibitors what should the nurse monitor for
BUN/Creatinine
If a pt that has TPA and the blood pressure is 260/170 what should the nurse do
Treat the Blood pressure first