CHEST PAIN / ACUTE CORONARY SYNDROME

Question 1

Oxygen if….

Answer 1

Saturations are less than 94% or evidence of respiratory distress

Question 2

Obtain 12-lead EKG and transmit as soon as possible for:

Answer 2

• Chest / arm / neck / epigastric pain
• Shortness of breath
• Diaphoresis
• Syncope
• Dizziness thought to be of possible cardiac etiology

Question 3

Aspirin

Answer 3

Four 81 mg orally (baby aspirin) total of 324 mg

Question 4

Nitroglycerin

Answer 4

• May assist patient with HIS/HER OWN PRESCRIPTION
• Hold if systolic blood pressure is less than 100
• Give 1 tablet sublingual every 5 minutes up to 3 tablets

Question 5

Do not use Nitroglycerin

Answer 5

If erectile dysfunction medication in past 24-48 hours
- MAY RESULT IN INTRACTABLE HYPOTENSION