Provider QUESTION and ANSWER
100%
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 -
correct 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
, RQI 2025 ACLS Healthcare
Provider QUESTION and ANSWER
100%
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?
o Intubate the patient immediately
o Administer albuterol nebulizer
o Do not start oxygen
o Start oxygen at 4L/min via nasal cannula - correct
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? - correct answer o Do
you take any medication?
o Do you have any allergies?
o When did the symptoms start?