RQI ACLS HEALTHCARE PROVIDER
Questions & Answers
1.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
2.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?
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12
, o 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
3.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?
4.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
o Nitroglycerine sublingual or translingual every 3 to 5 minutes
o Nitroglycerine every 1 to 3 minutes
Answer o Nitroglycerine sublingual or translingual every 3 to 5 minutes
2/
12
Questions & Answers
1.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
2.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?
1/
12
, o 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
3.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?
4.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
o Nitroglycerine sublingual or translingual every 3 to 5 minutes
o Nitroglycerine every 1 to 3 minutes
Answer o Nitroglycerine sublingual or translingual every 3 to 5 minutes
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12
