7j: Acute Coronary Syndrome (2025) скачать в хорошем качестве

7j: Acute Coronary Syndrome (2025)

This lesson, about Acute Coronary Syndrome, covers the syndrome, its symptoms and how to care for it. ACS is a collection of clinical presentations and its comprising factors are listed. ACS is classically recognized by one or more of a series of symptoms, of which a list is provided. The appropriate steps for administering care are discussed. Acute coronary syndrome, or ACS, is a collection of clinical presentations including unstable angina, non-ST-elevation myocardial infarction, or NSTEMI, and ST-elevation myocardial infarction, or STEMI. ACS is classically recognized by one or more of these symptoms: crushing chest pain, shortness of breath, pain that radiates to the jaw, arm or shoulder, sweating, and/or nausea or vomiting. It is important to note that not all individuals with ACS will present with these classic findings, particularly women and individuals with diabetes mellitus. It is impossible to determine a specific cardiac event from the ACS symptoms; therefore, ACS symptoms are managed in the same way. Every individual with these symptoms should be evaluated immediately. If an individual appears to be unconscious, begin with the BLS Survey, and follow the appropriate pathway for advanced care. If the individual is conscious, proceed with this pathway. Start with activating EMS. Administer oxygen. Use four liters per minute nasal cannula and titrate as needed to keep oxygen saturation to 94-99 percent. Administer aspirin. If there are no allergies, give 160 to 325 mg ASA to chew. Avoid coated ASA. Ideally, baby aspirin is the aspirin of choice. Administer nitroglycerin. Give 0.3 to 0.4 mg SL/spray x 2 doses at 3 to 5 minute intervals. Do not use if SBP is less than 90 mmHg. Do not use if phosphodiesterase inhibitor, like Viagra, has been taken within 24 hours. Administer morphine. Give 1 to 5 mg intravenously only if symptoms are not relieved by nitrates, or if symptoms recur. Monitor blood pressure closely. 12-lead ECG. Evaluate the individual for MI by ST elevation or depression, and poor R wave progression. Use at least two large gauge IVs in each antecubital fossa. Notify the hospital. Take the individual to a PCI center if probable STEMI. Activate ACS protocol at the hospital. For Acute Coronary Syndrome Algorithm, refer to Figure 42 in your corresponding ACLS manual. Need to be certified or recertified in ACLS, visit https://disquefoundation.org/acls-cou... ************************************** Follow us on social media! Facebook:   / disquefoundation   Twitter:   / disquefndn   Instagram:   / savealifeinitiative   Pinterest:   / disquefoundation   LinkedIn:   / disque-foundation   Website: https://disquefoundation.org/ To find out more about the Save a Life Initiative and the Disque foundation please visit our site or email us at [email protected] Together, let’s save lives.