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P-Chest Pain

QuestionAnswer
Indications Patients whose presentation is suggestive of cardiac chest pain
Contraindications ASA Contraindications (DAAAP) Nitroglycerin Contraindications (BEAPP)
Cautions ASA Cautions (PAIDS) Nitroglycerin Cautions
What does attendant do before administering ASA? Complete the primary survey, delegate O2 to partner. (Targeting 94%)
When and how much ASA should you administer? If the pain appears cardiac in nature and the max dose is 162mg in the last 12 hours. (Top up to 162mg if the patient has already had some.)
What does the attendant do before administering nitroglycerin? Obtain complete history, pain assessment and delegate vitals.
How much nitroglycerin do you administer and where should the patient be? 0.4mg SL and administer when the patient is on the cot.
What do you do after the first dose of nitro? Transport immediately and continue assessment. Administer q3 if still indicated for a max of 3 doses or pain goes to 0.
Which drugs that a patient has taken in the last 24 hrs contraindicates nitro? Viagra/Levitra
Which drug that a patient has taken in the last 48 hrs contraindicates nitro? Cialis
Should you give nitro to a patient who is not on the cot? No, they could fall after being give nitro because of hypotension.
Where do you work your cardiac pain assessment into the primary survey? During your RBS. Ask questions about cardiac chest pain while palpating and as they breathe in. The goal is to ID the pain early.
Created by: Levelstorm3950
 

 



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