________ is commonly used initially to relieve chest pain
What is Nitroglycerin
100
The pneumonic used to assess a patient with chest pain
What is PQRST
100
The first thing a nurse would do if a patient complained of chest pain
What is sit or lay them down (transport from wheelchair to bed)
100
The rate you start and the instrument you use to administer oxygen for a patient complaining of chest pain
What is 2-4 LPM via NP
200
Ativan is helpful for chest pain for these 2 reasons
What is muscle relaxation, anxiety
200
How long you must wait inbetween given back to back doses of Nitroglycerin
What is 5 minutes
200
The nurse must check ______ following each administration of Nitro
What is Vital Signs
200
The oxygen intervention you give a patient complaining of chest pain with 02 sat = 96%
What is 02 at 2-4 LPM via NP
300
The number of tablets/sprays of Nitroglycerin administered for each episode of chest pain
What is 3
300
3 expected side-effects of giving Nitro
What is decreased blood pressure, headache, dizziness
300
This IV solution is administered for chest pain
What is Normal Saline
300
This VS indicator would alert the nurse to NOT give any further Nitro
What is BP < 90 systolic
300
The heart normally extracts ______ % of O2 in blood to meet resting requirements
What is 60-80%
400
3 other medications useful for patients experiencing chest pain
What is Ativan, Tylenol, Maolox
400
Patient has had 3 doses of Nitro, _____ is adminstered next.
What is Morphine
400
5 other conditions that can cause severe chest pain
What is reflux esophagitis, peptic ulcer, pulmonary embolism, spontaneous pneumothorax, hyperventilation, pleuritis, arotic dissection, pericarditis, costochondral pain, shingles
400
The nurse can start ______ WITHOUT a physicians order for a patient experiencing chest pain
What is an IV
400
The 3 types of MI
What is chronic stable angina, silent myocardial ischemia, variant or vasospastic angina
500
Maalox is helpful for patients experiencing chest pain because
What is possible GI upset
500
Tylenol is helpful for patients experiencing chest pain for these possible reasons
What is headache, chest wall pain
500
5 different descriptions the nurse may encounter that would prompt using guidelines for assessing chest pain
What is 1. Crushing chest pain, jaw, arm or shoulder pain 2. nausea 3. diaphoresis 4. SOB 5. impending sense of doom 6. flu-like symptoms 7. burning sensation in chest 8. heartburn
500
The most accurate tool to assess BP for a patient experiencing chest pain
What is a manual BP
500
Nitroglycerin works by _________
What is relaxin vascular smooth muscles (venous & arterial) with peripheral pooling of blood thereby reducing preload & afterload and decreasing cardiac muscle O2 consumption, also dilates coronary blood vessals