Cardiac Ischemia Medical Directive Flashcards

1
Q

Cardiac Ischemia MD

What are the indications for the cardiac ischemia MD?

A

Suspected cardiac ischemia.

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2
Q

Cardiac Ischemia MD

What are the conditions for ASA administration?

A

Age: ≥18 years
LOA: Unaltered
Other: Able to chew and swallow

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3
Q

Cardiac Ischemia MD

What are the conditions for nitro administration?

A

Age: ≥18 years
LOA: Unaltered
HR: 60-159 bpm
SBP: Normotension
Other: Prior history of nitroglycerin use OR IV access obtained.

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4
Q

Cardiac Ischemia MD

What are the contraindications to ASA administration?

A

Allergy or sensitivity to NSAIDs.
If asthmatic, no prior use of ASA.
Current active bleeding.
CVA or TBI in the previous 24 hours.

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5
Q

Cardiac Ischemia MD

What are the contraindications to nitro administration?

A

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.

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6
Q

Cardiac Ischemia MD

What is the dosing information for ASA?

A

Route: PO
Dose: 160-162 mg
Max 1 dose.

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7
Q

Cardiac Ischemia MD

What is the Non-STEMI nitro dosing information?

A

SBP: ≥100 mmHg
Route: SL
Dose: 0.3 mg OR 0.4 mg
Dosing interval: 5 min
Max # of doses: 6

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8
Q

Cardiac Ischemia MD

What is the STEMI positive nitro dosing information?

A

SBP: ≥100 mmHg
Route: SL
Dose: 0.3 mg OR 0.4 mg
Dosing interval: 5 min
Max # of dose: 3

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9
Q

Cardiac Ischemia MD

What is the goal for time to 12-lead ECG from first medical contact?

A

<10 minutes where possible.

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10
Q

Cardiac Ischemia MD

What should be applied when a STEMI is identified?

A

Defibrillation pads.

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