QUESTIONS AND CORRECT ANSWERS (VERIFIED
ANSWERS) |AGRADE
Within the first 10 minutes, on the basis of the patient showing
symptoms suggestive of myocardial ischemia, what will your first
actions include (if not completed by EMS before arrival)?
o Obtain a 12-lead electrocardiogram (ECG) o Administer a blood
thinner
o Administer aspirin and establish IV access
o Activate the ST-segment elevation myocardial infarction (STEMI)
team
o If SPO2 is less than 90%, start oxygen o Assess airway, breathing, and
circulation (ABCs) o Administer epinephrine 1 mg IV
o Consider nitroglycerin, morphine and a P2Y inhibitor - ANSWER-o
Obtain a 12-lead electrocardiogram (ECG) o Administer aspirin and
establish IV access
o Activate the ST-segment elevation myocardial infarction (STEMI)
team o If SPO2 is less than 90%, start oxygen o Assess airway,
breathing, and circulation (ABCs) o Consider nitroglycerin, morphine
and a P2Y inhibitor
, o
His initial vital signs are HR 120/min, BP 135/88 mm Hg, RR 23/min,
SpO2 87%, and temperature 37.3C. When considering oxygen
saturation, what is your course of action?
Intubate the patient immediately o Administer albuterol nebulizer o
Do not start oxygen o Start oxygen at 4L/min via nasal cannula -
ANSWER-o Start oxygen at 4L/min via nasal cannula
What additional question help you determine next steps?
o Do you take any medication? o Do you have any allergies? o When
was the last time you went to the doctor? o When did the symptoms
start?
o Have you had any recent falls? - ANSWER-o Do you take any
medication? o Do you have any allergies? o When did the symptoms
start?
Your patient continues to say that he has chest discomfort. What
treatment can you repeat as long as it is not contradicted by vital signs?
o Morphine sublingual every 1 to 3 minutes o Morphine IV every 1 to 3
minutes