Chest pain- IHD/ACS/STEMI- PCI

Question 1

State 4 causes of chest pain that will kill you

Answer 1

PE
Tension pneumothorax
Aortic dissection
Cardiac tamponade
MI
Pneumonia

Question 2

Name two obs in PE that determine whether you are ‘small sick’ or ‘big sick’?

Answer 2

Low BP
High HR

Question 3

State two signs of PE on ECG

Answer 3

Sinus tachycardia
RAD

Question 4

Initial treatment for STEMI?

Answer 4

Morphine
Nitrates
Aspirin
Heparin
(oxygen only if required)

Question 5

Term for clamminess and sweating?

Answer 5

diaphoretic symptoms

Question 6

What must you check before administering ondansetron?

Answer 6

if normal QTc

Question 7

Differential for seizure/jerking like motion?

Answer 7

Space occupying lesion
Epilsepy
Cardiac!!- VT/arrhythmia might mimic tonic-clonic

Question 8

If GTN spray doesn’t work in someone with chest pain, is this concerning?

Answer 8

reassuring as this suggests no ischaemic picture

Question 9

List two criteria for DC cardioversion rather than chemical cardioversion in AF

Answer 9

1. hypotension (<90/60)
2. Chest pain
3. HF signs- pulmonary oedema, SoB