Acute Medical Presentations — Flashcards

Flashcard 311: For the initial management of ACS, oxygen is indicated if the patient has O2 saturation < _____%.

Answer: 90

Extra: In ACS, routine oxygen therapy in normoxic patients can cause hyperoxia, which leads to coronary artery vasoconstriction and potentially increases infarct size. Target SaO2 is typically 90-94% (or 88-92% in COPD).

Flashcard 312: Acute coronary syndrome presents with _____/left-sided chest pain which radiates to the jaw or both arms

Answer: central

Flashcard 313: STEMI is managed with _____ if the patient presents within 12 hours of symptom onset and PCI can be performed within 120 minutes

Answer: PCI

Flashcard 314: _____ is a group of conditions caused by sudden decrease in blood flow to the heart - STEMI - NSTEMI - Unstable angina

Answer: Acute coronary syndrome (ACS)

Flashcard 315: Initial management for ACS/chest pain: M_____ Oxygen (if sats < 94%) Nitrates Aspirin

Answer: orphine (if severe pain)

Flashcard 316: Which artery is associated with lateral myocardial infarction? _____

Answer: Left circumflex artery

Flashcard 317: For the initial management for ACS/chest pain, morphine is used if _____

Answer: patient is in severe pain

Flashcard 318: _____ stents are now the preferred stent type for PCI

Answer: Drug eluting

Flashcard 319: Modifiable risk factors for ischaemic heart disease include _____, hypertension, hypercholesterolemia, diabetes mellitus, obesity, & low physical activity

Answer: smoking

Flashcard 320: How are basic obs (BP, HR, temp, O2 sats) altered in ACS? _____

Answer: Generally normal