Assignment: Reinforces Educational Content

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Assignment: Reinforces Educational Content

Assignment: Reinforces Educational Content

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Develop a one-page clinical reference which reinforces educational content from NURS 640.

·  The structure of the reference is determined by the student based on the content presented. Formats that can be considered for representing a reference include diagrams or tables.

·  The reference is limited to the space of one standard letter-sized (8.5 x 11 inches) document.

·  Please add your reference list as a second page to your assignment (use APA format).

Clinical Reference: 12 Lead EKG Evaluation

Prepare a clinical reference/reference that describes the 12 lead EKG findings for cardiac ischemia and infarction.

Within your reference:

1.  Specify the EKG changes associated with the various coronary arteries.

2.  Identify the anatomic areas of the heart muscle supplied by the coronary arteries.

3.  List the EKG criteria for STEMI (ST elevation and other EKG changes).

4.  List the EKG findings in non-STEMI.

List the cardiac biomarkers commonly used in conjunction with 12-lead EKG to identify acute myocardial infarction, identify when these biomarkers peak and the length of time until they normalize

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Aspirin 160–325 mg

Oxygen (If O2 sat< 94% or O2 Sat>90% with COPD)

12–Lead ECG Pain Control

Cardiac Marker Levels

Pain Control

Nitroglycerin Sublingual or spray

ECG Interpretation**

ST-elevation MI (STEMI) High-risk unstable angina/non-ST-elevation MI (UA/NSTEMI)

Low-/Intermediate-risk ACS

Consider admission to ED chest pain unit or to appropriate bed and follow:

Start adjunctive therapies as indicated Do not delay reperfusion

Troponin elevated or high-risk patient Consider early invasive strategy if: Refractory ischemic chest discomfort Recument/persistent ST deviation Ventricular tachycardia Hemodynamic instability Signs of heart failure

Serial cardiac markers (including troponin) Repeat ECG/continuous ST-segment monitoring Consider noninvasive diagnostic test

Time from onset of symptoms ≤ 12 hours?

>12 hours

≤12 hours

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