1 / 8

Agenda

Agenda. Quiz Scenario There will be 1 patient and 1 proctor If score less than 80%, switch roles and do scenario again Lecture Write-ups Next week. Angina vs. MI. Causes MI: complete blockage of the blood supply to the heart muscle Angina: decrease in blood supply to the heart Symptoms

pippa
Télécharger la présentation

Agenda

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Agenda • Quiz • Scenario • There will be 1 patient and 1 proctor • If score less than 80%, switch roles and do scenario again • Lecture • Write-ups • Next week

  2. Angina vs. MI • Causes • MI: complete blockage of the blood supply to the heart muscle • Angina: decrease in blood supply to the heart • Symptoms • MI: chest pain with damage to the heart • Severe, steady, crushing pain • Radiates to the left neck • Weak, rapid pulse • Hypotension • Low grade fever • Angina: best pain with no damage to the heart • Tightness or pressure in the chest • Severity • MI: may cause permanent damage • irreversible damage prevented if blood supply restored within 20 min • Symptoms persist after 15 minutes and not relieved by nitro • Angina: symptoms relieved by rest or nitro within 10-15 minutes

  3. Medications • Administration criteria (DICE) • Drug/Dosage • Integrity/Indications (right patient?) • Clarity/Contraindications • Expiration Date • Nitroglycerin • Take BP before administration and 5 minutes after administration • Why? • May cause hypotension due to vasodilation • Indications • Symptoms of chest pain • Systolic BP >100mm/Hg • Contraindications • Patient does not meet indication or criteria for administration  Patient has taken 3 doses before EMS arrival within the last 5 minutes  Last dose was < 5 minutes ago Systolic blood pressure < 100mm/Hg Administration of Sildenafil citrate (Viagra7) or similar medication within 36 hours

  4. Medications • Preparation/administration • Tablet • Remove from container and check if in tact • Place under pt’s tongue • Instruct patient to allow tablet to dissolve, not swallow • Spray • One spray delivers 0.4 mg of nitro sublingually

  5. Reassessment • Repeat every 5 minutes • AKA primary assessment • Vital signs • Relevant part of a secondary assessment

  6. STS Dates • Every week (mostly) • 1/21 • 1/28 • 2/4 • 2/11 • 2/18 • 2/25 • 3/4 • 3/25 • 4/1 • 4/8 • 4/22 • 4/29 (elections)

  7. See you next week!!

More Related