RQI ACLS
confirmed right ventricular infarction
Which clinical finding represents a contraindication to the administration of nitro?
cns analgesia
what is a benefit of morphine when given for the management of acute coronary
syndrome?
initial impression
what is the first step in the systematic approach to patient assessment?
ST-segment elevation myocardial infarction (STEMI)
Upon reviewing a patient's 12-lead ECG, you note ST-segment elevation of 2 min in
leads II, III, and aVF.
How would you classify the ECG findings?
90 minutes
what is the goal for first medical contact-to-balloon inflation time for a patient receiving
percutaneous coronary intervention?
within 12 hours
what is the recommended time window after symptom onset for early fibrinolytic therapy
or direct catheter-based reperfusion for patients with ST-segment elevation myocardial
infarction and no contraindications?
30 minutes
what is the longest acceptable ED door-to-needle time when fibrinolysis is the intended
reperfusion strategy?
, reduces preload
what is a physiologic effect of nitroglycerin?
-obtain 12-lead ECG
-administer ASA and establish IV access
-activate the ST-segment elevation myocardial infarction (STEMI) team
-if SpO2 is less than 90%, start oxygen
-assess airway, breathing, and circulation (ABCs)
-consider nitro, morphine, and a P2Y inhibitor
within the first 10 min, on the basis of the patient showing symptoms suggestive of MI,
what will your first actions include (if not completed by EMS before arrival)?
ischemic stroke
what is the most common type of stroke?
start oxygen at 4L/min via nasal canula
his initial VS are HR 120/min, BP 135/88 mm Hg, RR 23/min, SpO2 87%, and temp
37.3C.
When considering oxygen saturation, what is your course of action?
nitroglycerine sublingual every 3-5 min
your patient continues to say that he has chest discomfort.
what treatment can you repeat as long as it is not contraindicated by vital signs?
admission for PCI or fibrinolysis
with the diagnosis of STEMI, what is the most probable treatment?
first medical contact-to-balloon inflation time of 90 minutes
what is your goal for PCI when treating this patient?
confirmed right ventricular infarction
Which clinical finding represents a contraindication to the administration of nitro?
cns analgesia
what is a benefit of morphine when given for the management of acute coronary
syndrome?
initial impression
what is the first step in the systematic approach to patient assessment?
ST-segment elevation myocardial infarction (STEMI)
Upon reviewing a patient's 12-lead ECG, you note ST-segment elevation of 2 min in
leads II, III, and aVF.
How would you classify the ECG findings?
90 minutes
what is the goal for first medical contact-to-balloon inflation time for a patient receiving
percutaneous coronary intervention?
within 12 hours
what is the recommended time window after symptom onset for early fibrinolytic therapy
or direct catheter-based reperfusion for patients with ST-segment elevation myocardial
infarction and no contraindications?
30 minutes
what is the longest acceptable ED door-to-needle time when fibrinolysis is the intended
reperfusion strategy?
, reduces preload
what is a physiologic effect of nitroglycerin?
-obtain 12-lead ECG
-administer ASA and establish IV access
-activate the ST-segment elevation myocardial infarction (STEMI) team
-if SpO2 is less than 90%, start oxygen
-assess airway, breathing, and circulation (ABCs)
-consider nitro, morphine, and a P2Y inhibitor
within the first 10 min, on the basis of the patient showing symptoms suggestive of MI,
what will your first actions include (if not completed by EMS before arrival)?
ischemic stroke
what is the most common type of stroke?
start oxygen at 4L/min via nasal canula
his initial VS are HR 120/min, BP 135/88 mm Hg, RR 23/min, SpO2 87%, and temp
37.3C.
When considering oxygen saturation, what is your course of action?
nitroglycerine sublingual every 3-5 min
your patient continues to say that he has chest discomfort.
what treatment can you repeat as long as it is not contraindicated by vital signs?
admission for PCI or fibrinolysis
with the diagnosis of STEMI, what is the most probable treatment?
first medical contact-to-balloon inflation time of 90 minutes
what is your goal for PCI when treating this patient?
