IV Morphine Side Effects and Considerations Quiz

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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?

X-Ray Signup and view all the answers

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

Facilitates its functioning during inflation Signup and view all the answers

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

By disrupting atheromatous plaque and extending fissures into the media Signup and view all the answers

What is a common side effect of morphine administration?

Constipation Signup and view all the answers

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

Bronchoconstriction Signup and view all the answers

How does aspirin work as an anti-platelet agent?

By inhibiting cyclo-oxygenase enzyme Signup and view all the answers

What is a contraindication for aspirin therapy?

Aspirin allergy Signup and view all the answers

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

Gastric mucosal ulceration Signup and view all the answers

How can morphine overdose be reversed?

With Naloxone IV Signup and view all the answers

When is the greatest survival benefit seen with thrombolytic therapy?

Within 4 hours after symptom onset Signup and view all the answers

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

Patients with systolic hypertension Signup and view all the answers

What is the recommended door to needle time for fibrinolysis?

Less than 30 minutes Signup and view all the answers

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

Patients with ST depression Signup and view all the answers

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

Early therapy has the greatest impact on infarct size and LV EF Signup and view all the answers

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

If contraindications exist and onset of pain was within the previous 3 hours Signup and view all the answers

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

Lower mortality and risk of recurrent ischaemia Signup and view all the answers

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

Patients at intermediate or higher risk Signup and view all the answers

When are indications for early angiography typically present?

Recurrent chest pain despite optimal medical therapy Signup and view all the answers

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

Smoking cessation, weight reduction, increased physical activity Signup and view all the answers

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

Patients at high risk of ischaemic events Signup and view all the answers

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

Pulmonary edema and/or hypotension Signup and view all the answers

What does CABG stand for?

Coronary Artery Bypass Grafting Signup and view all the answers

Which study evaluated the efficacy of Prasugrel in platelet inhibition?

TRITON-TIMI Signup and view all the answers

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

CURE Signup and view all the answers

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

RITA 3 Signup and view all the answers

What does the acronym HOPE stand for?

Heart Outcomes Prevention Evaluation Signup and view all the answers

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

SAVE Signup and view all the answers