PCI pathway

Question 1

what is the timeframe for PCI

Answer 1

90 minutes of diagnosis of a stemi

Question 2

additionally things to consider when using PCI pathway

Answer 2

IV access preferably in L arm

low threshold for antiemetics

consider patients comorbidities

Question 3

outline the 7 steps of the PCI pathway

Answer 3

1. call cardiology and transmit ECG

2.300 aspirin

3. Confirm whether any of the following cautions to PCI are present
4. activate pathway and discuss if tricagrelor admined

5.IVA L arm

6. opioids and antiemetics

7.GTN iof applicable

Question 4

cautions of PCI

Answer 4

Time of symptom onset was greater than 12 hours ago.

Requires assistance with their activities of daily living.

Severe comorbidities that significantly limit their life expectancy

Question 5

in case of cardiac arrest…

Answer 5

resus as normal
administer tenectaplase IV if ROSC docent occur within 5 mins of arrest

Question 6

role of ticagrelor

Answer 6

reversibly inhibits ADP receptors on platelets, decreasing platelet aggregation

Question 7

when do I need backup

Answer 7

if bradydysrythmia, tacky dysrhythmia or signs of shock