Treatment & Management of STEMI A0408

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Treatment & Management of STEMI A0408 저자: Mind Map: Treatment & Management of STEMI A0408

1. Transmit 12-Lead ECG

2. Request MICA

2.1. Unavailable.

3. Acute Coronary Syndrome A0401

3.1. Antiplatelet rx

3.1.1. Administer Aspirin 300mg if not already given

3.2. Pain Relief A0501

3.2.1. GTN 600mcg S/L if SBP >100mmHG

3.2.1.1. Rpt 300mcg S/L 5 minute intervals titrated to pain or side effects.

3.2.2. GTN patch 50mg to upper torso/arms.

3.2.2.1. Remove if SBP <90mmHG

3.2.3. Pain score 8/10

3.2.3.1. Severe pain

3.2.3.1.1. IV access for Opioid pain relief

3.3. STEMI identified

3.3.1. Symptoms <12 Hrs

3.3.1.1. Time to PCI <1hr

3.3.1.1.1. Contact CCS prior to heparin administration

3.3.1.1.2. Do not delay transport

3.3.1.1.3. Capture ECG 30 minutes prior to arrival and transmit to hospital.

3.4. Nausea management A0701

3.4.1. Ondansetron 4mg ODT/IV

3.4.1.1. Rpt 5-10minutes if symptoms persist. Max 8mg.