MC-1 - Acute Coronary Syndrome - Adult

Question 1

In the case of suspected ischemic chest pain, what is your first step in treatment?

A. 12-Lead ECG
B. 324 mg ASA PO
C. 0.4 mg NTG SO
D. 50 mcg Fentanyl IV

Answer 1

B. 324 mg ASA PO

Question 2

Outline the treatment of an STEMI on 12-lead ECG.

Answer 2

• After 324 mg po ASA and 12-lead:
  
  • Call STEMI alert as soon as possible
  • Place defibrillator pads (in case of arrest)

-consider Fentanyl IV/IM/IN

Question 3

In the case of an inferior STEMI (II, III, aVF), what is administered in hypotension?

Answer 3

250-500 cc NS

Question 4

In adult chest pain treatment, use what medication is a contraindication of nitroglycerin?

Answer 4

ED/pulmonary HTN drug use in prior 48 hours

Question 5

If an adult patient does not have an inferior MI, what may be administered to combat pain prior to narcotics?

Answer 5

0.4 mg SL nitroglycerin

Question 6

SL NTG may be repeated q___min if SBP is over 90 mmHg.

A. 2
B. 3
C. 4
D. 5

Answer 6

B. 3 minutes

Question 7

IV/IM Fentanyl for 50-74 kg.

Answer 7

50 mcg

Question 8

IV/IM Fentanyl for over 75 kg.

Answer 8

75 mcg

Question 9

IV/IM Fentanyl for geriatric patients

Answer 9

25 mcg

Question 10

IN Fentanyl for 50-74 kg patients.

Answer 10

100 mcg

Question 11

IN Fentanyl for over 75 kg patients.

Answer 11

100 mcg

Question 12

IN Fentanyl for geriatric patients.

Answer 12

50 mcg

Question 13

If pain is improved with 3+ SL nitroglycerin and SBP is over 90 mmHg, what may be given?

Answer 13

2% NTG ointment - 1” on the anterior chest