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Emergency Dept Case Studies Chest Pain Mr. G is a 51 yo male with a history of MI, CAD. Patient is c/o substernal chest pain, left arm pain. Wife drove.

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Presentation on theme: "Emergency Dept Case Studies Chest Pain Mr. G is a 51 yo male with a history of MI, CAD. Patient is c/o substernal chest pain, left arm pain. Wife drove."— Presentation transcript:

1 Emergency Dept Case Studies Chest Pain Mr. G is a 51 yo male with a history of MI, CAD. Patient is c/o substernal chest pain, left arm pain. Wife drove patient to hospital. What are your immediate priorities for this patient? ABC: VS, O2, EKG IV, Monitor, ASA (check with MD first), Present EKG to ED attending

2 EKG shows ST elevations V1-V6 “tombstones” VS are 110/80.104.24. temp 98.5 po and the patient still has chest pain. How do you proceed?

3 SL NTG, prepare for nitro and heparin drips. Consider placing 2 nd IV. Physician may order lopressor Anticipate cardiology eval and possible cath lab Ensure that lab studies including coags, cks, chemistries, CBC have been sent. Portable chest x-ray should be completed. Further assessment- CV, Resp, Neuro, GI/GU Cardiology orders integrilin drip. Where can you find information re: this med? Med is weight based with a bolus and continous gtt.Information re: Can look up in Lippincott drug guide online, white manual with drug calculations and refer to package insert.

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