IV Morphine Side Effects and Considerations Quiz
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Questions and Answers

What is the purpose of introducing an angioplasty balloon into the coronary artery during the procedure?

  • To occlude coronary flow (correct)
  • To guide the catheter
  • To deploy the stent
  • To inject radiopaque contrast

Which artery is commonly used for arterial access during the procedure?

  • Right brachial artery
  • Left femoral artery
  • Right radial artery (correct)
  • Left radial artery

What material is an intracoronary stent typically made of?

  • Silicone gel
  • Rubber tubing
  • Steel mesh (correct)
  • Plastic polymer

What imaging technique is primarily used during the procedure to guide the advancement of the guide-wire into the coronary artery?

<p>X-Ray (C)</p> Signup and view all the answers

What is the function of the angioplasty balloon's slippery outer coating during the procedure?

<p>Facilitates its functioning during inflation (B)</p> Signup and view all the answers

How does the vessel dilation occur when the angioplasty balloon is inflated?

<p>By disrupting atheromatous plaque and extending fissures into the media (D)</p> Signup and view all the answers

What is a common side effect of morphine administration?

<p>Constipation (B)</p> Signup and view all the answers

Which side effect is specifically mentioned as a reason to avoid morphine in patients with asthma?

<p>Bronchoconstriction (C)</p> Signup and view all the answers

How does aspirin work as an anti-platelet agent?

<p>By inhibiting cyclo-oxygenase enzyme (B)</p> Signup and view all the answers

What is a contraindication for aspirin therapy?

<p>Aspirin allergy (D)</p> Signup and view all the answers

Which side effect is associated with aspirin therapy according to the text?

<p>Gastric mucosal ulceration (D)</p> Signup and view all the answers

How can morphine overdose be reversed?

<p>With Naloxone IV (D)</p> Signup and view all the answers

When is the greatest survival benefit seen with thrombolytic therapy?

<p>Within 4 hours after symptom onset (A)</p> Signup and view all the answers

Which group of patients is at a higher risk of stroke after thrombolysis?

<p>Patients with systolic hypertension (D)</p> Signup and view all the answers

What is the recommended door to needle time for fibrinolysis?

<p>Less than 30 minutes (C)</p> Signup and view all the answers

In which group of patients is there no clear evidence of benefit from thrombolytic therapy?

<p>Patients with ST depression (A)</p> Signup and view all the answers

What is the impact of early therapy on infarct size and left ventricular ejection fraction (LV EF)?

<p>Early therapy has the greatest impact on infarct size and LV EF (A)</p> Signup and view all the answers

When should patients be thrombolysed if PPCI cannot be provided within 90 minutes of ECG diagnosis?

<p>If contraindications exist and onset of pain was within the previous 3 hours (B)</p> Signup and view all the answers

What is the main difference between the Early Invasive strategy and a more conservative approach?

<p>Lower mortality and risk of recurrent ischaemia (D)</p> Signup and view all the answers

According to NICE guidance, who should receive a routine invasive strategy?

<p>Patients at intermediate or higher risk (D)</p> Signup and view all the answers

When are indications for early angiography typically present?

<p>Recurrent chest pain despite optimal medical therapy (A)</p> Signup and view all the answers

What lifestyle measures are recommended in the secondary prevention/long-term management of patients?

<p>Smoking cessation, weight reduction, increased physical activity (C)</p> Signup and view all the answers

What does the RISK STRATIFICATION TOOL with a TOTAL SCORE of 7 help identify?

<p>Patients at high risk of ischaemic events (A)</p> Signup and view all the answers

In patients with haemodynamic instability, what is an indication for early angiography?

<p>Pulmonary edema and/or hypotension (B)</p> Signup and view all the answers

What does CABG stand for?

<p>Coronary Artery Bypass Grafting (D)</p> Signup and view all the answers

Which study evaluated the efficacy of Prasugrel in platelet inhibition?

<p>TRITON-TIMI (D)</p> Signup and view all the answers

Which study focused on evaluating the prevention of recurrent events in patients with unstable angina?

<p>CURE (B)</p> Signup and view all the answers

In which study was the long saphenous vein commonly used as a conduit for coronary artery bypass grafting?

<p>RITA 3 (B)</p> Signup and view all the answers

What does the acronym HOPE stand for?

<p>Heart Outcomes Prevention Evaluation (A)</p> Signup and view all the answers

Which study assessed the survival and ventricular enlargement in patients with heart disease?

<p>SAVE (A)</p> Signup and view all the answers

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