QUESTION 10:
This ECG is from someone with central chest pain for 2 hours.
1. What is the diagnosis
Ant wall MI
2. Outline treatment plan
1. Morphine sulfate 2 to 4 mg I.V. in increments of 2 to 8 mg repeated at 5-
to 15-minute intervals.
2. Oxygen if oxygen saturation is less than 90%
3. Nitroglycerin 0.4 mg sublingual every 5 minutes for three doses, after which
the need for I.V nitroglycerin is assessed
4. Aspirin 162 to 325 mg chewed for rapid buccal absorption.
3. Enlist 15 complications
1. Cardiogenic shock
2. Left ventricular dysfunction
3. Left ventricular mural thrombus
, 4. Ventricular septal rupture
5. Free wall rupture
6. Pericardial effusion from free wall rupture
7. Acute mitral regurgitation (MR) from papillary muscle rupture
8. Pericarditis
9. Sudden cardiac death
10. Left ventricular aneurysm
11. Heart blocks
12. Cardiac arrest
13. Arrhythmia
14. Bradycardia
15. Right ventricular infarction
QUESTION 11:
This ECG is from someone with central chest pain for 2 hours.
1. What is the diagnosis
Ant wall MI
2. Outline treatment plan
1. Morphine sulfate 2 to 4 mg I.V. in increments of 2 to 8 mg repeated at 5-
to 15-minute intervals.
2. Oxygen if oxygen saturation is less than 90%
3. Nitroglycerin 0.4 mg sublingual every 5 minutes for three doses, after which
the need for I.V nitroglycerin is assessed
4. Aspirin 162 to 325 mg chewed for rapid buccal absorption.
3. Enlist 15 complications
1. Cardiogenic shock
2. Left ventricular dysfunction
3. Left ventricular mural thrombus
, 4. Ventricular septal rupture
5. Free wall rupture
6. Pericardial effusion from free wall rupture
7. Acute mitral regurgitation (MR) from papillary muscle rupture
8. Pericarditis
9. Sudden cardiac death
10. Left ventricular aneurysm
11. Heart blocks
12. Cardiac arrest
13. Arrhythmia
14. Bradycardia
15. Right ventricular infarction
QUESTION 11:
