Flashcards in Discomfort/Pain of suspected cardiac origin Deck (19):
Nitro tab dose
Nitro SBP minimum
> 90 mmHG
Nitro may be repeated every ____minutes
Titrate subsequent NTG to pain relieve as long as SBP > ______
Can you give nitro without an IV?
Yes....absence of an IV shall not preclude use of NTG as long as other criteria are met
NTG shall not be given to pt who have taken _____ inhibitors ex ____ within the last ____ hours. If they have taken these start with ______
Viagra, Avenfil, Tadafil (cialis), Vardenafil
Nitroglycerine (NTG) _______tablet or equivalent spray sublingual if Systolic Blood Pressure >_____. May repeat every ______min. Titrate subsequent NTG to ________ as long as the SBP >_______ mmHG while simultaneously establishing IV access. Absence of an IV shall not preclude use of NTG as long as all other criteria are met.
NTG shall _____ be given to patients who have taken ______ inhibitors (Name 3_____,_____,____) or equivalent within the last ______hours, start treatment with _________ in these patients
Viagra, Cialis, Levitra
Administer _____mg-_____mg _______ Aspirin (ASA) orally, except in cases of ________ or _______ to ASA. Concurrent _________ therapy is not a contraindication for ASA admin.
intolerance or allergy
The most appropriate facility for hemodynamically stable pt (SBP_____) who have a 12 lead ECG consistant with an acute myocardial infarction. is a facility providing interventional cardiac catheterization services. EX of 12 lead ECG computer interpretations reading "___________", "Acute _______ ________", "ST ______ _____ ___", or "________" are accepted as consistent with an acute myocardial infarction.
Acute MI , Acute MI Suspected, ST elevation criteria met or STEMI
Hemodynamically unstable pt __________ shall be transported to the ____ _____ ____ providing ________ ____ _____ services
time closest facility
interventional cardiac catheterization services
pt should not have transport unduly delayed by attempts to obtain ______.
All cardiac monitor interpretations shall be relayed to the ________ facility prior to arrival.
12 lead ECG
IF NTG is ___________ or after the third (________ administered) NTG, the pt does not have relief of chest discomfort/pain the paramedic _____ elect to admin pain medication per _________ ________.
Discomfort/pain of suspected cardiac origin - ALS (Just the rundown)
Tx to Cath Lab
May give morphine.
CP suspected Cardiac- Supplemental O2
Maintain SpO2 >94%
Use lowest concentration and flow rate
CP suspected Cardiac-How many ASA and what is the dose
4 -81 mg chewable tablets
CP suspected Cardiac- Administration of Narcotics
1)Severe Pain not relieved by O2 admin and 3 doses of NTG, or pt cannot take NTG because they are taking PDE-5.
-not listed but allergic to NTG