Acute Coronary Syndrome Algorithm Flashcards
1
Q
ED assessment of ACS should occur within ____ minutes of arrival…
A
10 minutes
2
Q
6 components of ED assessment of ACS
A
vitals
IV access
targeted H&P
Review fibrinolytic checklist/CIs
draw labs: cardiac enzyme, CMP, coags
portable CXR
3
Q
Immediate ED general Tx for ACS
A
O2 4L/min to SpO2 of 90%
Aspirin 160-325 mg
Nitroglycerine
IV morphine PRN
4
Q
if ECG shows STEMI or evidence of LBBB and it has been < 12 hours…
A
PCI or fibrinolysis
5
Q
door to balloon inflation time goal for PCI during ACS…
A
90 minutes
6
Q
door to needle time goal for fibrinolysis during ACS
A
30 minutes
7
Q
If STEMI or LBBB > 12 hours, or NSTEMI/unstable angina, what tx can be administered
A
nitro, heparin, adjunctive tx PRN
8
Q
Inferior leads…
A
II, III, aVf
9
Q
Lateral leads…
A
I, aVl, V5, V6
10
Q
Anterior leads…
A
V3, V4
11
Q
Septal leads…
A
V1, V2
