APE and Cardiac Ischemia

Question 1

indications for APE

Answer 1

moderate to severe respiratory distress
AND
suspected acute pulmonary edema

Question 2

conditions for APE nitro

Answer 2

age >= 18
HR= 60-159
SBP = Normotension

Question 3

Contraindications for APE nitro

Answer 3

1) allergy or sensitivity to nitrates
2) phosphodiesterase inhibitor use within the previous 48 hr
3) SBP drops by 1/3 or more of its initial value after nitro is administered

Question 4

treatment for APE nitro

Answer 4

A) >=100-<140 SBP must have history, 0.4mg, Q 5min, 6 max dose
B) >=140mmHg no history 0.4mg, Q5min, 6 max dose
C) >=140mmHg, history of nitro, Q5 min, 6 max dose

Question 5

history means

Answer 5

patient with prior history of nitro use

Question 6

can you combine the ischemic directive with APE directive

Answer 6

NO

Question 7

indications for cardiac ischemia

Answer 7

suspected cardiac ischemia

Question 8

conditions for ASA cardiac ischemia

Answer 8

> = 18 years
unaltered
able to chew and swallow

Question 9

conditions for nitro cardiac ischemia

Answer 9

>=18
unaltered
normotensive
HR 60-159
history of nitro OR IV access obtained

Question 10

what does prior history mean

Answer 10

previously authorized or prescribed to the patient for use by a certified medical doctor

Question 11

contraindications for ASA

Answer 11

allergy or sensitivity
Asthma and never taken ASA
TBI or CVA within 24 hr
active bleeding

Question 12

contraindication for nitro in cardiac ischemia

Answer 12

allergy or sensitivity
phosphodiesterase inhibitors within 48hr
SBP drops of 1/3 or greater of initial value after administration
12-lead ECG compatible with RV MI

Question 13

treatment of ASA

Answer 13

PO
160-162mg
1 dose

Question 14

treatment for nitro in cardiac ischemia

Answer 14

>=100mmHg
SL
0.4mg
Q5min
6 max doses