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14 Cards in this Set
- Front
- Back
- 3rd side (hint)
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What is the requirements of ST elevation for AMI? How many mm and how many leads?
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2 mm or more in 2 related leads.
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What leads would indicate an Inferior infarct?
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II, III, and aVF
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What leads would indicate a Septal infarct?
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V1 and V2
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What leads would indicate an Anterior infarct?
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V3 and V4
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What leads would indicate a lower Lateral infarct?
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V5 and V6
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What leads would indicate a high Lateral infarct?
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I and aVL
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What criteria is needed for an "ACUTE CARDIAC ALERT" to be called?
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At least 2 of the following:
a) Chest pain with signs and symptoms of AMI. b) 12 lead interpretation printing "***ACUTE MYOCARDIAL INFARCTION ***". c) Paramedic interpretation of EKG as AMI also. |
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What hospital is appropriate to provide interventions for a patient who meets "ACUTE CARDIAC ALERT"?
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Fawcett Memorial
Bayfront Port Charlotte Venice Regional |
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After calling ACUTE CARDIAC ALERT, what should you do next?
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Apply defibrillator pads to patients chest and monitor rhythm closely.
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If patient's condition deteriorates you may need to convert his rhythm.
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What is the dose of Aspirin for Acute Myocardial Infarction?
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4 Baby Aspirin (81 mg) for a total of 324 mg.
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What is the dose of Nitroglycerin? (CHF or Angina or Acute Myocardial Infarction)
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0.4 mg every 5 minutes as long as systolic BP >100 mmHg
0.8 mg every 5 minutes as long as systolic BP >150 mmHg |
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What is the dose for Morphine Sulfate in Acute Myocardial Infarction?
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5 mg IV titrated to relief of chest pain if it persists despite oxygen and Nitroglycerin. Maximum dose is 20mg or as ordered by physician.
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When giving Morphine, respiration must be_______, and systolic BP _______.
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greater than or equal to 12
greater than or equal to 150mmHg |
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If right sided MI is confirmed, and patient is bradycardic and/or hypotensive, treatments should include:
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Fluid Challenge of 250cc NS
Withhold Nitroglycerin and Morphine unless orders received by online physician. |
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