You are dispatched to a 70-year old male who is complaining of chest pain, and has a history of cardiac problems. If you assist in the administration of nitroglycerin, what is the maximum dosage to be given, without additional medical direction?
Answer(s): B
The maximum dosage amount is three tablets, or sprays, without additional medical direction.
You are dispatched to a 75-year old female patient who is complaining of extreme chest pain, and trouble breathing. This patient is a high-capacity chain-smoker, and over-weight. Which of the following is most susceptible to be present?
Answer(s): A
With this patient you could suspect many things, however the best choice is coronary artery disease.
You are dispatched to a 21-year old male patient who has an elevated pulse. When asked what he was doing, he replies, “I was just running”. From the given information, what do you suspect? "
Due to the fact the patient had been running the elevated pulse is perfectly within normal limits.
You are dispatched to a 75-year old female patient who is currently in cardiac arrest. After one shock via the AED she begins breathing at 15 breaths per minute, and has a strong carotid pulse; what is your next step?
The next step after shocking with the AED, and the patient is breathing and has a pulse is to apply high concentration oxygen via NRB, unless the respiratory rate is above or below the minimum and maximum limits, at which time you would assist with a bag-valve-mask.
You are dispatched to a 50-year old male patient who is having cardiac issues. Which of the following will occur if the patient’s heart is beating too fast, or too slow?
If this patient becomes too bradycardic or tachycardic, they may go unconscious due to inadequate perfusion.
You are dispatched to a 53-year old female patient who has extreme chest pain. Upon gaining medical direction to administer nitroglycerin, you administer one tablet. What action should you now perform?
Because nitro is a vasodilator you should always check the patient’s blood pressure after giving nitro and before giving another dose.
You are dispatched to a 50-year old male patient who is having extreme chest pain. Which of the following is a contraindication to administer nitroglycerin?
Answer(s): D
Because Nitro is a Vasodilator it should not be administered to a patient with a systolic blood pressure of below 100, because it may cause their blood pressure to drop to a dangerous level
What is the time frame in which cardiogenic shock can occur after an acute myocardial infarction (AMI)?
Cardiogenic shock is a condition in which the heart suddenly cannot pump enough blood to meet the demands of the body. It typically occurs within 24 hours of an AMI. It is important to know the signs and symptoms of cardiogenic shock, as without prompt treatment it often proves fatal.
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