SHARP ESO Grossmont Exam Questions and Verified Answers| 100% Correct | A Grade (New 2024/ 2025)
QUESTION
what is chest pain
Answer:
most common presentation of ACS (e.g. unstable angina, non-q wave MI, q-wave MI);
described as uncomfortable pressure, fullness, squeezing, pain in...
SHARP ESO Grossm ont Exam Questions and Verified Answers| 100% Correct | A Grade (New 2024/ 2025) QUESTION what is chest pain Answer: most common presentation of ACS (e.g. unstable angina, non -q wave MI, q -wave MI); described as uncomfortable pressure, fullness, squeezing, pain in center of the chest lasting several minutes, pain spreading to shoulders/neck/arms/jaw chest discomfort with lightheadedness. fainting, sweating, nausea, or shortness of breath, impending doom QUESTION chest pain treatment Answer: 1. o2 at 4 LNC to have spo2 >94% 2. NTG .4 mg SL if SBP >90 or MAP >60 mmHG and HR > 50 BPM. may repeat x2 every 3 -5 minutes 3. morphine 2 mg ivp/io q5 min up to total of 10 mg if SBP >90 4. aspirin 325 mg if not contraindicated and no dose given on this date 5. hypotension occurs and no CHF, give 250 NS bolus 6. 12 lead EKG - if ST segment is > 2 mm in 2 leads or has new onset of BBB it is suggestive of stemi QUESTION goal for PCI with MI Answer: PCI or thrombolytics in <90 minutes QUESTION symptomatic hypotension Answer: SBP <90. clincial signs: clammy skin, cool, oliguria, increased HR, impaired sensorium if hypotension is associated with arryhthmia, treat the rhythm! hypotension post anesthesia is tx with fluid replacement and ephedrine QUESTION treat symptomatic hypotension Answer: 1. o2 min 10 L/min NRBM 2. if hypovolemia is suspected infuse 250ml/NS. repeat in 5. can use LR if running. 3. if SBP <90, start dopamine 400 mg/250 at 5 mcg/kg/min. Titrate to max of 20 mcg to achieve of SBP >90/MAP 60 mmhg. 4. if obvious blood loss draw stat H&H and type and cross for 2 units PRBCs. 5. if sepsis is suspected follow sepsis algorithm. QUESTION for PACU patients hypotension Answer: 1. o2 at 10 L/min NRBM 2. infuse 250 ml NS, repeat in 5 min. 3. if bolus is ineffective administer ephedrine 5 mg ivp/io 4. if no improvement within 3 minutes, repeat at 10 mg ivp/io 5. in presence of blood loss draw stat h/h, type and cross 2 units QUESTION
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