Team Response Scenario: Ross Jenkins (July 2023) Questions and Answers

Team Response Scenario: Ross Jenkins (July 2023) Questions and Answers On rapid assessment, Mr. Jenkins is responsive and his airway is patent. His body language indicates that he is experiencing retrosternal pain or discomfort. He is not visibly dyspneic, cyanotic or diaphoretic and appears to be in minimal distress. Which of the following actions should the team take within the first 10 mins? Assess and support airway, breathing, and circulation Obtain vital signs Primary assessment findings are as follow: Airway - Patent and self maintained Breathing - RR is 18 breaths/min; no dyspnea; SpO2 is 98% on room air Circulation - HR is 75 bpm; sinus rhythm with an occasional PVC; BP is 130/90 mmHg; normal pulses; capillary refill is 2 seconds; skin is warm and acyanotic Based on Mr. Jenkins' clinical presentation and these assessment findings, what diagnostic test should be performed right away? 12-Lead ECG Dr. Bheda ordered the ECG to assist in accurately diagnosing the cause of Mr. Jenkins' chest pain. Which potentially life-threatening causes of chest pain other than ACS should be considered as part of the differential diagnosis? Aortic dissection Ruptured esophagus Pulmonary embolism Pneumothorax Perforating peptic ulcer disease The 12-lead ECG shows ST-segment elevation in leads V2 and V3 of ≥ 0.2 mV. What is this finding indicative of? STEMI What medication(s) should Dr. Bheda consider for Mr. Jenkins? Aspirin, 162 to 325 mg PO Nitroglycerin, 0.4 to 0.8 mg SL What diagnostic studies would be appropriate for Dr. Bheda to order at this time? Serum cardiac markers A complete blood count Serum electrolyte panel Coagulation studies Chest radiograph Reperfusion therapy is indicated for Mr. Jenkins. What is the time frame for percutaneous coronary intervention (PCI)?... ...What is the time frame for fibrinolytic therapy? Within 1.5 hours... ...Within 30 minutes