• Acute coronary syndromes
    Cardiology

    Acute Coronary Syndromes

    Checklist ECG: Get a 12 lead ECG within 10 minutes of patient presenting with chest pain Vitals: Take initial vital signs: temp, HR, RR, SpO2, BP in both arms; and repeat if there further chest pain or equivalent symptoms Oxygen: Give Oxygen if SpO2 ≤ 90% or there are clinical signs of hypoxemia Antiplatelets: Give acetylsalicylic acid (Aspirin®) now if it was not given prior to arrival at hospital. Write down when it was given. Nitroglycerin: Give Nitroglycerin in hemodynamically stable patients every 5 minutes as needed. *Avoid if suspected RV infarction. Dose: usually 0.3 to 0.4 mg. Place defibrillation pads on chest – because there is a high risk…