Chest Pain Flashcards
Name possible serious causes of CP
MI, PE, DVT, tensi9 pneumothorax, dissection aortic aneurysms
Name other causes of CP
Pneumothorax, co trauma, pericarditis, co infect.n pleural effusion
Describe angina
Burning, ache, squeezing, heavy
10-15mins then settles
Sub sternal
Radiates arm neck jaw back
> use GTN IF no better ?MI
How do these interventions help CP?Morphine, O2, GTN, Aspirin
-M Reduces pre and post load; heart less stressed
-O2 helps perfuse heart
-GTN vasodilator, heart perfusion
-aspirin antiplatelet effect
Angina on ECGs
hyperacute T-wave, flattening of the T-waves, inverted T-waves, and ST depression
Unstable angina on ECG
Found d> hx taking
Easily provoked, intense compared to angina
MI shapes
Tomb stone, ST ELEVATION
Manual defibrillator*
For a shockable rhythm Pulseless VT, VF
Open door
1. Turn ON button on
2. Press Eneselect, auto charges to 200J
3. Press cha rge “Charging defibrillatorcont CPR
“Everyone stand clear assessing rhythm”…
“Shockable rhythm”STAND CLEAR everyone, Shocking now”
Deliver shock, “continue CPR”
2mins from the time you shock
As it’s coming up to 2 mins Increase energy to 360J
“Charging defibrillator cont CPR
“Everybody stand clear assessing rhythm…shockable rhythm (if it is)
“Stand clear shocking now, continue CPR”
Manual defibrillator*
For a non shockable rhythm PEA asystole
Open door
1. Turn ON button on
2. Press Energy select, auto charges to 200J
3. Charge cont CPR
“Everyone stand clear assessing rhythm”…
“Non Shockable rhythm, continue CPR”
Find the cause 4Hs 4Ts
How do you use AED?
White second generation
AED instructs you
Open lid, auto turns on place pads on, work around person, auto analyses,
You say “STAND CLEAR” you deliver shock if it’s shockable, cont CPR
Where do you not place defibrillator pads
On PPM, ICD, breast tissue, medical patches > reduces E
