Include effect in AMI smoothly

Aug 6th, 2022
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How to Include effect in AMI

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hey everyone its Sandra Turner sorry and calm and in this video I want to be going over part two of myocardial infarction in this video Im going to be covering the nursing interventions and the medications given in this condition now be sure to watch part 1 because that video built upon this video where I cover the path oh the anatomy how its diagnosed reading an EKG and things like that and as always over here on the side or in the description below you can access the quiz the lecture notes and part one in other videos in the in kliks cardiac series so lets get started first lets talk about nursing interventions what are you going to be doing for this patient as the nurse remember time is muscle we talked about in part one those cells in the heart when they quit receiving blood they die really fast and within 30 minutes its irreversible we cant fix them and once theyre gone they are gone they cannot be replaced so as a nurse we want to make sure were assessing our patients an

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Reperfusion therapy is defined as the first reperfusion therapy used to restore blood flow through a suspected or known occluded coronary artery immediately on diagnosis and includes intravenous thrombolysis, primary angioplasty, intracoronary thrombolysis, or immediate coronary artery bypass grafting surgery.
Arrange an emergency ambulance if an AMI is suspected. Take an ECG as soon as possible but do not delay transfer to hospital, as an ECG is only of value in pre-hospital management if pre-hospital thrombolysis is being considered.
Reperfusion therapy includes drugs and surgery. The drugs are thrombolytics and fibrinolytics used in a process called thrombolysis. Surgeries performed may be minimally-invasive endovascular procedures such as a percutaneous coronary intervention (PCI), which involves coronary angioplasty.
Successful clinical reperfusion was defined by the presence of at least two of the following criteria at 2 hours of starting treatment: (1) docHub relief of pain (50% or more), (2) 50% or more reduction in sum of ST segment elevation, (3) abrupt initial rise of creatine kinase MB (CK-MB) level, more than two-fold
Reperfusion therapy improves survival in patients with STEMI. Achieving optimal results with primary PCI depends on revascularization of the infarct-related artery within 90 minutes after presentation of the patient to the PCI hospital (or first medical contact).
Strategies to reduce health systemrelated delays in reperfusion include regionalization of ST-segmentelevation myocardial infarction care and protocols, prehospital ECGs and treatment initiation, prehospital activation of the catheterisation laboratory, bypassing non percutaneous coronary interventioncapable
Ventricular free wall rupture. VFWR is the most serious complication of AMI. VFWR is usually associated with large transmural infarctions and antecedent infarct expansion. It is the most common cause of death, second only to LV failure, and it accounts for 15-30% of the deaths associated with AMI.
What are the symptoms of heart attack? Chest pain or discomfort. Feeling weak, light-headed, or faint. Pain or discomfort in the jaw, neck, or back. Pain or discomfort in one or both arms or shoulders. Shortness of breath.

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