Heart Attack Flashcards

1
Q

What is a common complaint of older people that may indicate heart-related issues?

A

Chest pain

Chest pain can often signal conditions like myocardial infarction.

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2
Q

What is a significant characteristic of heart attacks in geriatric patients?

A

Classic symptoms are often not present

Many older patients experience ‘silent’ heart attacks.

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3
Q

What proportion of older patients may have ‘silent’ heart attacks?

A

One-third

This is especially common in women and people with diabetes.

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4
Q

True or False: A patient not reporting classic chest pain can be assumed not to have a myocardial infarction.

A

False

Patients may present with atypical symptoms.

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5
Q

List some symptoms that may indicate acute cardiac disease in older patients.

A
  • Dyspnea
  • Epigastric and abdominal pain
  • Loss of bladder and bowel control
  • Nausea and vomiting
  • Weakness
  • Dizziness
  • Lightheadedness
  • Syncope
  • Fatigue
  • Confusion

These symptoms should be evaluated by ALS personnel.

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6
Q

What skin changes may indicate a cardiovascular problem in older individuals?

A
  • Diaphoresis (profound sweating)
  • Pale skin
  • Cyanotic (blue) skin
  • Mottled skin

Skin changes can be critical indicators of underlying issues.

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7
Q

What is the importance of obtaining baseline vital signs in older patients?

A

It provides a primary picture of the severity of the patient’s condition

Vital signs help in ongoing assessment and treatment planning.

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8
Q

What may a blood pressure reading indicate in the presence of cardiac chest pain?

A

Hypertension or hypotension

Both conditions are significant and require attention.

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9
Q

What is the typical EMT-level treatment for an older patient’s cardiac problem?

A
  • Airway support
  • Ventilatory support
  • Circulatory support

EMTs may also administer medications like aspirin or assist with nitroglycerin.

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10
Q

What is the purpose of reassessing a patient after treatment?

A

To evaluate treatment effectiveness

Ongoing assessment is crucial for patient care.

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