Ch. 53 Management of STEMI
The nurse understands that ventricular fibrillation is a common cause of death after myocardial infarction (MI). Which drug should be readily available to treat ventricular fibrillation?
Amiodarone [Cordarone]
Which drug would not be included in the treatment plan for a patient who will undergo a primary percutaneous coronary intervention (PCI)?
Diltiazem [Cardizem]
A patient is admitted to the emergency department complaining of chest pain, and the electrocardiogram (ECG) shows an evolving ST-segment elevation myocardial infarction (STEMI). What intervention should the nurse anticipate?
Have the patient chew a 325-mg aspirin.
The nurse is preparing to administer an intravenous (IV) nitroglycerin infusion. For which patient should the nurse question the healthcare provider's prescription to administer IV nitroglycerin infusion?
A patient with a right ventricular infarction, confirmed by right-sided ECG changes
A patient is admitted to the emergency department with a diagnosis of ST-segment elevation myocardial infarction (STEMI). Which is the priority nursing action?
Having the patient chew a 325-mg aspirin
For all patients undergoing percutaneous coronary intervention (PCI), which drug is recommended to be combined with clopidogrel [Plavix]?
Aspirin
The nurse in the emergency department is receiving a report on a patient diagnosed with ST-elevation myocardial infarction (STEMI). What are the common biochemical markers and symptoms for a STEMI? (Select all that apply.)
Chest pain and electrocardiographic (ECG) changes Elevated troponin T level Elevated creatinine kinase level Weakness and diaphoresis
Which adverse effect is the greatest concern with thrombolytic therapy?
Intracranial hemorrhage
The nurse is teaching a patient who has had an ST-segment elevation myocardial infarction (STEMI) about home medications. Which agent represents a drug category that should be taken by all post-MI patients?
Metoprolol [Lopressor]
Which medication is the treatment of choice for ST-segment elevation myocardial infarction (STEMI)-associated pain?
Morphine
Which is the most beneficial treatment for patients experiencing an ST-segment elevation myocardial infarction (STEMI)?
Reperfusion therapy
