Chest Pain / AMI 2.3

Question 1

Three types of ACS (Acute Coronary Sydrome)

Answer 1

Classic aginal chest pain
Atypical chest pain
Anginal equivalents

Question 2

Classic anginal chest pain presentation

Answer 2

Central anterior chest pain
Chest pressure/tightness
Crushing pain
Radiates to arms, neck, or back

Question 3

Atypical chest pain presentation

Answer 3

Epigastric discomfort
Musculoskeletal pain
Often unilateral

Question 4

Anginal equivalent presentation

Answer 4

Palpitations
Fainting / Syncope
DKA
General Weakness

Question 5

Common S/S of ACS patients

Answer 5

Diaphoresis
Anxiety
Restlessness
Impending doom
N/V

Question 6

Treatment of Chest Pain / AMI

Answer 6

Perform 12 Lead EKG
Establish venous access x2 if able

Aspirin
162 - 324 mg

Nitroglycerin
0.4 mg SL
Every 3-5 minutes
Max of 3 doses

Morphine
2 mg Slow IVP
Every 5 minutes
Max of 10 mg

Question 7

What consitutes unstable STEMI patient

Answer 7

Systolic BP < 90
HR > 150
SPO2 < 90

Question 8

Time frames for Chest Pain patients

Answer 8

5 minutes to gather 12 Lead EKG

15 Minutes on scene time

Arrival at hospital within 1 hour