Heart Breakdown Beats

This is the Med-Surg breakdown for your NCLEX test today We are

talking CAD to MI,

so listen close to what I say (yeah)

Myocardial Infarction means the heart muscles die Necrosis from no oxygen,

let me tell you why Coronary arteries are blocked,

the O2 tubes are tight Remember SODDA causes to get your answers

right S is Stress and Smoking,

Stimulants too O is for Obesity,

BMI over twenty-five is true D is Diabetes,

Hypertension high Diet with animal fats you should deny And A is

African American males and Age fifty-plus Men more than women,

it's

a priority for us (come on) When the chest pain is sudden

and crushing, radiating wide To the jaw,

the back, and down the left side Give oxygen,

aspirin, nitro under tongue And morphine for the pain if the damage

has begun

Get an EKG first,

check the ST line Then look at the Troponin,

over zero-point-five is the sign (yeah that's the sign)

Now DRESS your patient up with the education tips D is low

Sodium and Fluid to their lips Two grams and two liters to

prevent Heart Failure swell Report new rapid weight gain if the water

starts to dwell R is reduce stress,

alcohol, and caffeine E is exercise thirty minutes,

five days, keep it clean S is smoking cessation,

S is sex when they can dare Two flights of stairs with

absolutely no despair And avoid all NSAIDs,

naproxen and the rest

Because they increase clot risk,

and that's an NCLEX test

For the anti-clogging pharmacology we use Antiplatelets like aspirin and clopidogrel to

choose Hold them if the platelets are fifty thousand or less Then

add a statin for cholesterol,

to clean up the mess No grapefruit juice,

watch the liver toxicity Report clay-colored stools and muscle pain with simplicity

Total cholesterol two hundred or below Triglycerides one-fifty,

LDL one hundred, let it go

While HDL is forty or more to keep the vessels clean

(keep them clean)

To rest the heart,

we give a 'chill pril' ACE Lisinopril or an ARB to slow

the race Hold for low BP,

not the heart rate,

my friend Watch out for angioedema,

cough, or kidneys that bend Creatinine point-nine to one-point-two is the zone

And watch high potassium or the pump will groan Give beta-blockers ending

in '-lol' But caution in heart failure,

asthma, and blood sugar fall Use nitroprusside for crisis,

but stop the drip low If systolic drops below ninety,

or thirty in a blow When the chest pain is sudden and

crushing, radiating wide To the jaw,

the back, and down the left side Give oxygen,

aspirin, nitro under tongue And morphine for the pain if the damage

has begun Get an EKG first,

check the ST line Then look at the Troponin,

over zero-point-five is the sign

(that's the sign)

Heparin prevents the clot from growing tall

PTT forty-six to seventy,

protamine sulfate cures it all

Now you know the cardiac Med-Surg review

Go pass that NCLEX,

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