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Mudpiles Quick Medical Reference
Methanol Uremia DKA Paraldehyde Iron/INH Lactic acid Ethanol Salicylates
Sample page from: Mudpiles Quick Medical Reference
See other sample pages at http://mudpiles.com/mudpilesbook.html click on the image of the book.
If you would like the full page of any sample page...I would be more than happy to email it to you.
This is from page 161 of the book...Ideal for ICU/Wards/ER rotation 230 pages of everything you need for rotations.
Take a look at the Index page on: http://mudpiles.com/mudpilesbook.html
You wont find this anywhere else.
LOCATION OF MI
Myocardial Infarction
EKG Localization of MI:
ANTERIOR = ST elevation in V2 through V4; LAD/LCA
ANTEROSEPTAL = ST elevation V1 - V4; LAD
ANTEROLATERAL = ST elevation V1 - V6, I, AVL; LAD, Diagonal
INFERIOR = ST elevation in II, III, & AVF; Right Posterior Descending, Circumflex
RIGHT VENTRICULAR = ST elevation II, III, AVF, V4R; RCA
LATERAL = ST elevation I, AVL, V5, V6; Left Circum. Art, Diagonal
POSTERIOR = ST Depression V1, V2, V3 w/ tall R waves (esp. V1); RCA
Right Coronary Artery branches
SA Nodal Artery(supplies the SA Node); Conus Artery (supplies the RA); Right Ventricular Marginal Artery (supplies the RV); Posterior Descending Artery (supplies the posterior wall); AV-Nodal Artery (supplies the AV Note); Septal Perforate Arteries.
Q wave infarct/Transmural
ECG findings = ST segment elevation within hours; Q wave wider than 40ms in duration and/or have a depth greater than 25% of the following R wave within 24 to 48 hours. May have small R waves here as well. May have TWI in weeks to months.
Non-Q wave infarct/Sub-Endocardial
ECG findings = TWI in minutes to hours; ST segment elevation/depression within hours; Q wave / small R wave within 24 to 48 hours +/- TWI. ST segment depression or TWI in weeks to months.
Anterior Wall
ECG findings = elevated ST segments or Q wave in V1, V2, V3, V4. Concerns for V-tach/PVCs; 3° (Mobitz II) AV Block; high incidence of sudden cardiac death & LBBB.
Inferior Wall
ECG findings = elevated ST segments or Q wave in II, III, & AVF. Must do a right sided EKG, which will show a ST segment elevation of at least 1 mm in RV3; diagnostic RV4 when looking for posterior involvement.
Lateral Wall
ECG findings = elevated ST segments or Q wave in I & AVL; same complications as anterior wall; high lateral wall supplied by the marginal branches of the LAD or proximal circumflex. The low lateral wall is supplied by the diagonal branches. Look for hyperacute ST segment elevation of at least 2mm in 2 contiguous leads.
You must also take a look at:
Medications/Drips & Charts>>> DRIPS>>>Pages 41-60
on the web page...
Dr D. Walker
[email protected]
P.O Box 5834
Abilene, TX
79606
Methanol Uremia DKA Paraldehyde Iron/INH Lactic acid Ethanol Salicylates
Sample page from: Mudpiles Quick Medical Reference
See other sample pages at http://mudpiles.com/mudpilesbook.html click on the image of the book.
If you would like the full page of any sample page...I would be more than happy to email it to you.
This is from page 161 of the book...Ideal for ICU/Wards/ER rotation 230 pages of everything you need for rotations.
Take a look at the Index page on: http://mudpiles.com/mudpilesbook.html
You wont find this anywhere else.
LOCATION OF MI
Myocardial Infarction
EKG Localization of MI:
ANTERIOR = ST elevation in V2 through V4; LAD/LCA
ANTEROSEPTAL = ST elevation V1 - V4; LAD
ANTEROLATERAL = ST elevation V1 - V6, I, AVL; LAD, Diagonal
INFERIOR = ST elevation in II, III, & AVF; Right Posterior Descending, Circumflex
RIGHT VENTRICULAR = ST elevation II, III, AVF, V4R; RCA
LATERAL = ST elevation I, AVL, V5, V6; Left Circum. Art, Diagonal
POSTERIOR = ST Depression V1, V2, V3 w/ tall R waves (esp. V1); RCA
Right Coronary Artery branches
SA Nodal Artery(supplies the SA Node); Conus Artery (supplies the RA); Right Ventricular Marginal Artery (supplies the RV); Posterior Descending Artery (supplies the posterior wall); AV-Nodal Artery (supplies the AV Note); Septal Perforate Arteries.
Q wave infarct/Transmural
ECG findings = ST segment elevation within hours; Q wave wider than 40ms in duration and/or have a depth greater than 25% of the following R wave within 24 to 48 hours. May have small R waves here as well. May have TWI in weeks to months.
Non-Q wave infarct/Sub-Endocardial
ECG findings = TWI in minutes to hours; ST segment elevation/depression within hours; Q wave / small R wave within 24 to 48 hours +/- TWI. ST segment depression or TWI in weeks to months.
Anterior Wall
ECG findings = elevated ST segments or Q wave in V1, V2, V3, V4. Concerns for V-tach/PVCs; 3° (Mobitz II) AV Block; high incidence of sudden cardiac death & LBBB.
Inferior Wall
ECG findings = elevated ST segments or Q wave in II, III, & AVF. Must do a right sided EKG, which will show a ST segment elevation of at least 1 mm in RV3; diagnostic RV4 when looking for posterior involvement.
Lateral Wall
ECG findings = elevated ST segments or Q wave in I & AVL; same complications as anterior wall; high lateral wall supplied by the marginal branches of the LAD or proximal circumflex. The low lateral wall is supplied by the diagonal branches. Look for hyperacute ST segment elevation of at least 2mm in 2 contiguous leads.
You must also take a look at:
Medications/Drips & Charts>>> DRIPS>>>Pages 41-60
on the web page...
Dr D. Walker
[email protected]
P.O Box 5834
Abilene, TX
79606
