Cardiac Ischemia Medical Directive Flashcards
Cardiac Ischemia MD
What are the indications for the cardiac ischemia MD?
Suspected cardiac ischemia.
Cardiac Ischemia MD
What are the conditions for ASA administration?
Age: ≥18 years
LOA: Unaltered
Other: Able to chew and swallow
Cardiac Ischemia MD
What are the conditions for nitro administration?
Age: ≥18 years
LOA: Unaltered
HR: 60-159 bpm
SBP: Normotension
Other: Prior history of nitroglycerin use OR IV access obtained.
Cardiac Ischemia MD
What are the contraindications to ASA administration?
Allergy or sensitivity to NSAIDs.
If asthmatic, no prior use of ASA.
Current active bleeding.
CVA or TBI in the previous 24 hours.
Cardiac Ischemia MD
What are the contraindications to nitro administration?
Allergy or sensitivity to nitrates.
Phosphodiesterase inhibitor use within the previous 48 hours.
SBP drops by one-third or more of its initial value after nitroglycerin is administered.
12-lead ECG compatible with Right Ventricular MI.
Cardiac Ischemia MD
What is the dosing information for ASA?
Route: PO
Dose: 160-162 mg
Max 1 dose.
Cardiac Ischemia MD
What is the Non-STEMI nitro dosing information?
SBP: ≥100 mmHg
Route: SL
Dose: 0.3 mg OR 0.4 mg
Dosing interval: 5 min
Max # of doses: 6
Cardiac Ischemia MD
What is the STEMI positive nitro dosing information?
SBP: ≥100 mmHg
Route: SL
Dose: 0.3 mg OR 0.4 mg
Dosing interval: 5 min
Max # of dose: 3
Cardiac Ischemia MD
What is the goal for time to 12-lead ECG from first medical contact?
<10 minutes where possible.
Cardiac Ischemia MD
What should be applied when a STEMI is identified?
Defibrillation pads.