Assignment: Reinforces Educational Content

Assignment: Reinforces Educational Content

Assignment: Reinforces Educational Content

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

You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes.

Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages.

Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor.

The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting hard copy, be sure to use white paper and print out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument.