Pharmacology - Chapter 52 - Management of Myocardial Infarction

Question 1

Myocardial Infarction - def

Answer 1

necrosis of myocardium from acute occlusion of coronary artery.

Question 2

What are some risk factors for MI?

Answer 2

Family history, sedentary lifestyle, obesity, high serum cholesterol, hypertension, smoking, diabetes.

Question 3

1/3 of people with an MI die within 20 days. T/F?

Answer 3

True!

Question 4

What are some complications of MI?

Answer 4

Ventricular dysrhythmias, cardiogenic shock, CHF, cardiac rupture, Arterial embolism, deep vein thrombosis, pericarditis.

Question 5

Diagnosis of MI -

Answer 5

Chest pain (radiating, crushing), EKG changes - elevation of St segment, prominent Q wave, inverted T wave may occur over time, and Biochemical markers, like Creatine Kinase (CK-MB/Troponin 1 and 2)

Question 6

MI - Acute Phase Management - refers to interval between onset of symptoms and ___ from ____, which is about _ to _ days.

Answer 6

discharge from hospital - 6-10 days.

Question 7

Goal of treating an MI is to bring __ supply back in balance with __ demand.

Answer 7

Oxygen!!!!

Question 8

Reperfusion Therapy - def

Answer 8

restore blood flow accomplished by……Thrombolytic Drugs! (Streptokinase, etc.)

Question 9

Drug Therapy for MI - include….(10)

Answer 9

Thrombolytics, Morphine, Aspirin, Anticoagulants, Nitro, Beta Blocker, Ace Inhibitor, Lidocaine, Magnesium, CCB.

Question 10

Long QT Syndrome - def

Answer 10

a heart condition associated with prolongation of repolarization (recovery) follwing depolarization (exciation) of the cardiac ventricles.

Question 11

Long QT Syndrome - associated with…

Answer 11

Snycope (fainting) and suddent death!

Question 12

Long QT Syndrome - also associated with another dysrythmia…

Answer 12

Torsades de pointes!!!!!!