4402 Suspected ACS Flashcards
1
Q
Pertinent Environmental Findings
A
Exercise
Nitroglycerin
2
Q
Pertinent Hx
A
CAD Prescribed NTG Family hx of CAD OPQRST Use of PDE-5 Inhibitors in last 48 hours
3
Q
Pertinent Physical Findings
A
Anxiety, dyspnea Pallor, diaphoresis CP Dizziness Tachy or Brady Arrhythmia N/V Abd pain
4
Q
Differential Diagnoses
A
Angina or MI Pericarditis PE Pneumothorax Costochindritis Aortic aneurysm or dissection GERD Hiatal Hernia Trauma
5
Q
Emergency Stabilization
A
Aspirin PO
NTG spray or tablet with BP>90 may repeat twice at 3-5 min intervals
NTG paste with BP>90, remove and wipe away if BP falls
Morphine/Fentanyl for pain unresponsive to NTG while BP>90, may repeat once
