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GCU ANP 650 EXAM (Actual / ) 23 QUESTIONS AND 100% Verified Correct ANSWERS ( A SCORE)
Anterior infarction ST elevation, Leads V1, V2, V3, V4 with or without abnormal Q waves Usually associated with occlusion of the LAD branch of the LCA
Lateral infarction ST elevation, Leads I, aVL, V5, V6
with or without abnormal Q waves
May be a component of a multiple site infarction
Usually associated with obstruction of Left circumflex artery
What does ST segment elevation indicate?An acute process of injury; ST returns to baseline with time
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If ST elevation is diffuse and unassociated with Q waves or reciprocal ST depression, consider pericarditis based on clinical presentation
Location of injury can be determined in the same manner as infarct location
Usually associated with reciprocal ST depression in other leads
What does the Q wave represent?Infarction Small Qs may be normal in V5, V6, I, and aVL Abnormal Q must be one small square (0.04 sec) wide, or Abnormal Q wave depth is greater than one-third of QRS height
Thrombolytic therapy Assess for contraindications
Treat eligible AMI patients with thrombolytic therapy within 30 minutes of ED arrival
Minimize time for 4Ds of AMI treatment process:
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