MC-1 - Acute Coronary Syndrome - Adult Flashcards Preview

Sedgwick County EMS Protocols > MC-1 - Acute Coronary Syndrome - Adult > Flashcards

Flashcards in MC-1 - Acute Coronary Syndrome - Adult Deck (13):
1

In the case of suspected ischemic chest pain, what is your first step in treatment?

A. 12-Lead ECG
B. 324 mg ASA PO
C. 0.4 mg NTG SO
D. 50 mcg Fentanyl IV

B. 324 mg ASA PO

2

Outline the treatment of an STEMI on 12-lead ECG.

- After 324 mg po ASA and 12-lead:
- Call STEMI alert as soon as possible
- Place defibrillator pads (in case of arrest)

-consider Fentanyl IV/IM/IN

3

In the case of an inferior STEMI (II, III, aVF), what is administered in hypotension?

250-500 cc NS

4

In adult chest pain treatment, use what medication is a contraindication of nitroglycerin?

ED/pulmonary HTN drug use in prior 48 hours

5

If an adult patient does not have an inferior MI, what may be administered to combat pain prior to narcotics?

0.4 mg SL nitroglycerin

6

SL NTG may be repeated q___min if SBP is over 90 mmHg.

A. 2
B. 3
C. 4
D. 5

B. 3 minutes

7

IV/IM Fentanyl for 50-74 kg.

50 mcg

8

IV/IM Fentanyl for over 75 kg.

75 mcg

9

IV/IM Fentanyl for geriatric patients

25 mcg

10

IN Fentanyl for 50-74 kg patients.

100 mcg

11

IN Fentanyl for over 75 kg patients.

100 mcg

12

IN Fentanyl for geriatric patients.

50 mcg

13

If pain is improved with 3+ SL nitroglycerin and SBP is over 90 mmHg, what may be given?

2% NTG ointment - 1" on the anterior chest