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EXAM WITH ANSWERS |\ |\
Within the first 10 minutes, on the basis of the patient
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showing symptoms suggestive of myocardial ischemia,
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what will your first actions include (if not completed by
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EMS before arrival)?
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o Obtain a 12-lead electrocardiogram (ECG)
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o Administer a blood thinner
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o Administer aspirin and establish IV access
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o Activate the ST-segment elevation myocardial infarction
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(STEMI) team
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o If SPO2 is less than 90%, start oxygen
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o Assess airway, breathing, and circulation (ABCs)
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o Administer epinephrine 1 mg IV
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o Consider nitroglycerin, morphine and a P2Y inhibitor -
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CORRECT ANSWERS ✔✔o Obtain a 12-lead |\ |\ |\ |\ |\ |\
electrocardiogram (ECG) |\
o Administer aspirin and establish IV access
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o Activate the ST-segment elevation myocardial infarction
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(STEMI) team
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o If SPO2 is less than 90%, start oxygen
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o Assess airway, breathing, and circulation (ABCs)
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, o Consider nitroglycerin, morphine and a P2Y inhibitor
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His initial vital signs are HR 120/min, BP 135/88 mm Hg,
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RR 23/min, SpO2 87%, and temperature 37.3C. When
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considering oxygen saturation, what is your course of |\ |\ |\ |\ |\ |\ |\ |\
action?
o Intubate the patient immediately
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o Administer albuterol nebulizer
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o Do not start oxygen
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o Start oxygen at 4L/min via nasal cannula - CORRECT
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ANSWERS ✔✔o Start oxygen at 4L/min via nasal cannula
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What additional question help you determine next steps?
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o Do you take any medication?
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o Do you have any allergies?
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o When was the last time you went to the doctor?
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o When did the symptoms start?
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o Have you had any recent falls? - CORRECT ANSWERS
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✔✔o Do you take any medication?
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o Do you have any allergies?
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o When did the symptoms start?
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