Primary PCI guideline Flashcards
1
Q
what is the timeframe for PCI
A
90 minutes
2
Q
additionally things to consider when using PCI pathway
A
IV access preferably in L arm
low threshold for antiemetics
consider patients comorbidities
3
Q
name the 7 steps of PCI pathway
A
- call cardiology and transmit ECG
- 300 aspirin
- Confirm whether any of the following cautions to PCI are present
- activate pathway and discuss if tricagrelor admined
- IVA L arm
- opioids and antiemetics
- GTN iof applicable
4
Q
cautions of PCI
A
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.
5
Q
in case of cardiac arrest
A
resus as normal
administer tenectaplase IV if ROSC docent occur within 5 mins of arrest
6
Q
role of ticagrelor
A
reversibly inhibits ADP receptors on platelets, decreasing platelet aggregation
7
Q
when do I need backup??
A
if bradydysrythmia, tacky dysrhythmia or signs of shock
8
Q
A
