Managements

Question 1

Chest Pain

Answer 1

ABC’s (Airway, Breathing, Circulation), vitals, assess, call for help
MONA: Morphine, Oxygen, Nitro, Aspirin
EKG/Telemetry
Labs: Troponin

Question 2

Arrhythmias

Answer 2

ABC’s (Airway, Breathing, Circulation), vitals, assess, call for help
EKG/Telemetry
Labs: Na, K, Mg, Phos
No Pulse: Start CPR

Question 3

Hypotension

Answer 3

ABC’s (Airway, Breathing, Circulation), vitals, assess, call for help
Lay flat and raise feet
IV Fluid Bolus (per orders or standardized procedure)
Labs: CBC, hematocrit

Question 4

Respiratory Distress

Answer 4

ABC’s (Airway, Breathing, Circulation), vitals, assess, call for help
Assess and titrate oxygen requirements
Labs: Arterial Blood Gas (ABG)
CXR

Question 5

Decreased LOC and/or Confusion?

Answer 5

ABC’s (Airway, Breathing, Circulation), vitals, assess, call for help
Deep pain stimuli (Sternal rub, Pinch finger nail)
Last meds taken: Narcotics or Benzodiazepines?
Labs: ABG, Blood Sugar