Chest Pain Flashcards

You may prefer our related Brainscape-certified flashcards:
1
Q

What should you do for a patient with chest pain upon arriving to the room?

A

if arrest, call code and initiate CAB

determine sick/not-sick

assess primary survey with ABCs and vital signs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What should be done within 5-10 minutes of all high risk patients with undifferentiated chest pain?

A

EKG

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Describe the evolution of an MI on EKG.

A
  1. hyperacute T waves (wide and tall)
  2. ST elevation
  3. Q waves with T wave inversion and ST elevation
  4. ST elevation improveds, but Q waves and T waves still
  5. T wave normalizes, but Q wave persists
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What are the 6 critical diagnoses you must consider in someone with chest pain?

A
ACS
PE
aortic dissection
tension pneumo
esophageal rupture
pericarditis with tamponade
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What are the classic signs and symptoms of ACS?

A

chest pain, weakness, nausea, fatigue, diaphoresis, ill appearance, maybe rales

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What are the classic signs and symptoms of a PE?

A

pleuritic chest pain, SOB, + risk factors, tachycardia, clear lungs, unilateral leg swelling

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What are the classic signs and symptoms of aortic dissection

A

sudden onset severe ripping pain to back with paresthesia or paralysis, unequal blood pressures, abnormal pulses, neurologic deficits

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What are the classic signs and symptosm of tension pneumo?

A

sudden onset severe unilateral pleuritic chest pain, hypotension, unequal breath sounds, tracheal deviations

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What are the classic signs and symptoms of esophageal rupture?

A

intense substernal chest pain after vomiting or endoscopic procedure, hamman’s crunch (crackle sounds heard or felt in time with heart beat)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What are the classic signs and symptoms of pericarditis/tamponade?

A

pleuritic chest pain and dyspnea, muffle heart sounds, distended neck veins, hypotension

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What are the less acute possible sources for chest pain?

A

costochondritis
pleurisy
GERD
anxiety

How well did you know this?
1
Not at all
2
3
4
5
Perfectly