Acute Coronary Syndrome (ACS) Flashcards
1
Q
What are the goals when dealing with ACS
A
Identify if STEMI is present
Relieve chest discomfort
Prevent major adverse cardiac events (MACE)
Treat acute, life-threatening complications
2
Q
What is the treatment plan in ACS
A
ABCs
O2 (maintain pulse ox of 94-99%)
12 Lead EKG (before O2 if VS is stable, no resp distress, & pulse ox >94%)
Meds = ASA, Nitro, Morphine
3
Q
What does a stable angina pt look like
A
Pink, warm, and dry
4
Q
What does an unstable angina pt look like
A
Altered mental status, SOB, CP, cool, clammy, and diaphoretic
5
Q
What is the time goal for PCI
A
Within 90 minutes
6
Q
What is the time goal for thrombolytics
A
Withing 30 minutes (chew ASA)
7
Q
If a pt is stable what should you always do first
A
Get a 12 lead EKG, even before oxygen
