Chest Pain
When suspecting ACS (Acute Coronary Syndrome), the frequency for monitoring and documenting LOC, VS, cardiac rate and rhythm, and oxygen saturation.
What is every 5 minutes?
Referred to as high blood sugar
Hyperglycemia
What is a sinus headache?
A discoloration of skin due to gravitational pooling of blood.
What is dependent lividity?
(AM)Cardiac Arrest, Respiratory Arrest, and a need for airway/ventilation support
What are Indications for Advanced Airway Placement?
Performed for any chief complaint of Chest Pain with abnormal vitals, pallor, sweating, fever, palpitations, decreased breath sounds, asymmetric pulses, etc.
What is STAT EKG?
Typical are 80 to 130mg/dl before meals and less than 180mg/dl two hours after meals.
What are normal blood glucose levels?
Alcohol, menstruation, high altitude, exercise, stress, caffeine, chocolate, nitrates, tyramine-rich foods, and monosodium glutamate.
What are common headache triggers?
What is intraosseous (IO) access?
(AM) Goal for End-Tidal CO2 reading via waveform capnography
What is 35-45mmHg?
Given one tab non-enteric coated 325mg unless patient allergic or actively bleeding.
What is Aspirin?
Lethargic, comatose or convulsive, shortness of breath, breath that smells fruity, nausea and vomiting, very dry mouth.
What are signs of hyper/hypoglycemia?
1. Is allergic to them. 2. Has advanced/chronic liver disease, chronic kidney disease at stage 3/4/5, GFR<60, bleeding in stomach or intestines.., 3. takes blood thinners. 4. Was previously prescribed with no effectiveness
What are contraindications to Ibuprofen and Naproxen?
With this, you immobilize and leave in place. Remove only if it interferes with airway patency or with chest compressions.
What is impaled object?
(AR) Epinephrine injection 0.3mg IM Epipen injected into the middle of the outer thigh by pressing and firmly holding the tip of the auto injector perpendicular to patient's thigh (90* angle) OR Epinephrine 1:1000 aqueous 0.3mg IM.
What are Medications for Generalized Life-Threatening Allergic Reaction?
Immediately administer 0.4mg sublingually. May repeat every 5min x 3 doses, while symptoms persist and systolic BP remains >100mmHg.
What is Nitroglycerin?
What are actions for blood glucose >400mg/dl?
Slurred speech, facial drooping, focal or asymmetric weakness, generalized symmetric weakness.
What are signs of stroke?
Wounds contaminated with dirt, soil, saliva, or feces; puncture wounds, avulsions; and wounds resulting from bullets, crush injuries or burns.
What is administer Tetanus Prophylaxis?
(AR) Contact for Abnormal Vital signs: Temp <96.8 or >100.4 F; Respiration <10 or >24/min, Pulse <50 or >110/min, Systolic BP <90 or >180mmHg, Diastolic BP >120mmHg, Pulse Ox <94%, End Tidal CO2 <35 or >45mmHg.
What is Notify the provider or call STAT?
Can be accompanied by fever, chills, cough, dyspnea on exertion, tachycardia, diminished breath sounds, crackles and/or wheezes, absent or diminished breath sounds, tracheal devation.
What is pleuritic chest pain?
1. Activate EMS, call 911 2. Notify PCP/POC immediately 3. Administer Glucagon 1mg IM or IV or sq route 4. Reassess blood glucose 15min after admin
What are actions for finger stick blood glucose <54mg/dl and patient with cognitive impairment?
Neurologic deficit; onset sudden or abrupt; progressive headache and aytpical presentations; older age (>50yrs); Positional headache.
What are headache danger signs?
DIRTY HANDS.
What is the number one cause of infection?
(AM) Cause of Acute worsening of respiratory status or evidence of hypoxemia after advanced airway placement.
What is the displacement or obstruction of the airway device, pneumothorax, or equipment failure?