Myocardial Infarction Nursing Mnemonic (MONATAS)
MONATAS M-Morphine O-Oxygen N-Nitrates (Nitroglycerin) A-Aspirin (ASA) T-Thrombolytics A-Anticoagulants S-Stool Softeners
Nursing Case Study for Cardiogenic Shock
Betty is a 71-yr-old woman with a history of high blood pressure, diabetes, and acute myocardial infarction 2 years ago. She has complained of chest pain with nausea and fatigue at her nursing home and, per protocol, an EKG was done in the ambulance on her way to the local ER. The ER provider interprets […]
Nursing Care and Pathophysiology of Myocarditis
Overview- Myocarditis Nursing Points: Pathophysiology Myocarditis occurs when the heart muscle (myocardium) becomes inflamed due to an immune system response Causes Acute infection Viral (most common cause) Bacterial Fungal Parasitic Systemic Inflammatory condition Symptoms Chest Pain Arrhythmias Shortness of breath Fatigue Signs of infection Fever Diarrhea Headache Muscle aches Sore throat Diagnosis […]
Nursing Case Study for Rheumatic Heart Disease
Ms. Patel, a 19-yr-old female who recently immigrated to the US from India due to poor conditions in her home village, presents to the Emergency Department (ED) with “fluttering” in the chest which is sometimes uncomfortable. She also complains of fatigue and occasional shortness of breath. She has no primary care provider and works at […]
02.18 Cardiovascular Practice Questions for CCRN Review
06.04 Differentiating Ectopy and Aberrancy for CCRN Review
Nursing Points General Ectopy & Aberrancy Aberrancy Supraventricular arrhythmia that starts in the atrium Arriving from atrium to “tired” bundle Right Bundle branch block viewed/seen as a little mountain pattern, this is a little problem Left bundle branch block All complexes are wide Narrow R wave Ectopy Ventricular arrhythmia Preventricle Contractions (PVCs) Right ventricle Rare […]
06.05 Wide Complex Tachycardia for CCRN Review
Nursing Points General Wide complex Tachycardia Known as an “unknown type” Goal is to preserve cardiac function Treatment To preserve cardiac function Cardioversion Amiodarone Procainamide Used specifically for low ejection fraction Contraindicated Lidocaine Verapamil Adenosine
02.08 Cardiac Catheterization & Acute Coronary Syndrome for CCRN Review
Nursing Points General Cardiac Catheterization Diagnose coronary artery disease View cardiac function Intervene and treat CAD Right side Assess pressure in right ventricle, atrium, and pulmonary artery Determine oxygen level View left to right shunt Evaluate cardiac output View tricuspid and pulmonic valves Electrophysiology Left Side View coronary arteries Find any lesions Intervene as needed […]
02.12 Myocardial Infarction- Inferior Wall for CCRN Review
Nursing Points General Inferior Wall MI (Myocardial Infarction) Supplied by R coronary artery Complications Sinus node Heart rate bradycardia Lightheaded, ringing in ears -> lie flat with legs up -> brings blood to atria (releases natriuretic hormone and increases HR) AV node Atria-ventricle ‘disconnection’ Complete heart block 3rd degree heart block (multiple p waves for […]
02.13 Myocardial Infarction – Anterior Septal Wall for CCRN Review
Nursing Points General Anterior Septal Wall MI (Myocardial Infarction) Supplied by Left anterior descending Complications Bundle of his Mobitz 2 (constant PR interval) Tx-> pacemaker Bundle branches Right bundle branch block (BBB) Tx-> pacemaker Ventricular septum Ventricular septal defect Tx-> surgery