Cardiac Ischemia Medical Directive Flashcards
1
Q
indications for cardiac ischemia
A
suspected cardiac ischemia
2
Q
conditions for ASA
A
> =18 years
unaltered
able to chew and swallow
3
Q
conditions for nitro
A
>=18 years unaltered HR 60-159 normotensive prior history of nitro use OR IV access obtained
4
Q
contraindications for ASA
A
allergy or sensitivity to ASA or NSAIDS
if asthmatic, no prior use of ASA
current active bleeding
CVA or TBI in the previous 24 HR
5
Q
contraindications for nitro
A
allergy or sensitivity to nitrates
phosphodiesterase inhibitor use within the previous 48hr
SBP drops 1/3 or more of its initial value after nitro admin
12-lead ECG compatible with R ventricular MI
6
Q
ASA treatment
A
PO
160-162mg
1 max dose
7
Q
nitroglycerin treatment
A
no STEMI >=100mmHg SL 0.3-0.4mg max 0.4mg Q5min 6 max doses
