Atherosclerosis
(Lumen ) lipids and cholesterol
^ BP
Arteriosclerosis
Decrease elasticity
Hardens
++BP
Lumens
HTN medication
(ramipril )
HTN
140/90
Map 150
Headache
02 to 94
Iv tvko
12 lead
Seizures
Aortic widening
Thinking and widening of the artery in aortic arch/ descending aorta
Ascending neck / throat
Descending flank /shoulder/back
Iv ecg 02 to 94% ALs morphine
Acute aortic dissection
Intima layer torn
Pain shoulder blades
Max pain on onset
Bp different per arm
Ruptured AAA
Fluid rapture at the site of dissection
Pulsating mass in abdo
O2
Iv
TVKO
Persive hypo
Bp 70-90
Stable angina
Coronary arteries (st depression)
Heavy chest pain
Pain radiate in arm
Rest 10-20 min
02to 94%
ASA
12 lead
Iv
Nitro
ALs morphine
Unstable angina
Same but not alleviated with meds and rest
Prizmental angina
Coronary attires
Drug use
Steroids
Stress and smoking
Mi
Coronary Arteries
Sudden or total occlusion
Tx
Reperfusion
MONA
NC 90-94%
ASA
12 lead
If stemi call alert
Nitro ALs morphine
45 semi flowers
Male Mi systoms
Retrosternal pain, pressure weight , squeezing , pale, cool, diaphoretic
Females MI
Light headed nausea
Epigastric burining between shoulder pain
Diabetic women
Uncomfortable lower back pain
LCF
Left ventricle
decrease cardio output
TX
Pulmonary edema
Crackles rales
Hemoptysis
RCF
JVD
Pedeal edema
Pitting at ankles
CHF tx
Postion of comfort
O2 to 94%
If bp good sit with legs dangle downward
Ecg
Iv tkvo
Cardiac tamponde
Blood in the pericardial sac
Pluses paradox
Systolic drop by 10 or weak pluses on inspiration
02 to maintain 94%
ECG
“IV enroute”
500-1000ml
“PERICARDIOCENT “
Hypo
Muffled heart sounds
JVD
Atropine
A drug to increase HR
Transcutaneous pacing
For Brady rates 60-80
Cardio version
Unstable tachycardia
Ishemia
Depression
Reversible with o2
Injury
Depression / evelation need for 02
Infract
Elevation no fix