A blood clot completely blocks a coronary artery, which prevents oxygen-rich blood from reaching the heart muscle and may result in damage or death of the heart muscle.
What happens in a STEMI?
PH 7.21
PO2: 63mm Hg
PCO2: 50 mm Hg
HCO3: 24 mEq/L
What is respiratory acidosis?
1. Temperature > 100.9 F (38.3°C) or temperature < 96.8 °F (36.0°C)
2. Heart rate > 90 bpm
3. Respiratory rate > 20 or PaCOs < 32
4. WBC < 4,000 or > 12,000 or > 10% bands
What is SIRS?
What is the vital sign/neuro check frequency post TPA?
An abnormal bulge or enlargement in blood vessel or heart wall
What is an aortic aneurysm?
reference range 35-45 mmHg
What is normal etco2?
The presence of 2 or more SIRS + known/suspected infection + signs or symptoms of organ dysfunction.
What is Severe Sepsis?
What is 185 systolic and 110 diastolic?
Occurs when blood separates the layers of the aortic wall, which creates a blood-filled tunnel within the aorta.
What is aortic dissection?
pH - 7.22
PCO2 - 41 mmHg
PO2- 87 mmHg
O2Sat - 97%
HCO3 - 19 mEq/L
What is metabolic acidosis?
_____ should be given before blood cultures are drawn when possible?
Antibiotics
Required to be assessed before TPA and 2hrs post TPA
When is the NIH documented?
Fluid accumulates in the pericardial sac.
What is cardiac tamponade?
A severe form of asthma exacerbation characterized by hypoxemia, hypercarbia, and secondary respiratory failure.
status asthmaticus
The presence of 2 or more SIRS + known/suspected infection
What is Sepsis?
Best eye opening, motor, and verbal response
What is the Glasgow Coma Scale?
A sudden and significant increase in blood pressure, with a reading of 180/120 mmHg or higher.
What is hypertensive crisis?
What is a pleural effusion?
The recommended volume for fluid bolus in sepsis.
30ml/kg
Less than 60 minutes
What is the door-to-needle time goal?