Treatment of Myocardial Infarction CPR with defibrillation MONA morphine oxygen

Treatment of myocardial infarction cpr with

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Treatment of Myocardial Infarction CPR with defibrillation MONA (morphine, oxygen, nitrates, aspirin) Chewing aspirin is part of emergency protocol Sublingual nitroglycerin Thrombolytic therapy – contraindications? Heparin Altepase (t-PA) Streptokinase Tenecteplase (TNKase) National standards listed in box 20-2
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Acute Care of Myocardial Infarction Relieve pain Medications as ordered watching for side effects Monitor for s/s of complication Dysrhythmia, heart failure, pulmonary edema, pericarditis, cardiogenic shock, or cardiac arrest See table 20-3 pg 460 Maintain patent IV at all times
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Recovery of Myocardial Infarction Decrease anxiety Assessment every 4-8 hrs, vitals every 2-4 hours Daily weight Promote rest and increase activity as tolerated/ordered ADLs
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Cardiac Surgery Percutaneous transluminal coronary angioplasty (PTCA) Balloon used to open artery, stent used to keep open Drug-eluting stent suppresses cell growth so body does not occlude the vessel with new cells Coronary artery bypass graft surgery (CABG) If multiple vessels are occluded Bypasses the blockage using the saphenous vein MIDCAB: minimally invasive direct coronary bypass that does NOT require heart to be stopped Laser angioplasty Breaks up the clot
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Figure 20-6, A
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Guidelines for recovery Patient teaching (p. 463) Recognize signs Exercise Control risk factors Reduce stress Observe for complications Chest pain, pulse rate, dyspnea, fatigue Take medications as prescribed
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Postoperative Care Specialized cardiac monitoring Chest tubes for drainage and proper reexpansion of the lungs Autologous blood transfusion Temporary epicardial pacemaker Physical and emotional disability Rehabilitation
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  • Fall '19
  • Atherosclerosis, acute myocardial infarction, infarction, Dyspnea

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