Cardiac Emergencies: St Elevation Myocardial Infarction (Stemi)

8 Questions | By VI4life | Last updated: Mar 21, 2022 | Total Attempts: 4088

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1.

Acute Coronary Syndrome (ACS) is defined as patients with angina, shortness of breath, chest, epigastric, arm, or jaw pain or discomfort and may be associated with diaphoresis, nausea, shortness of breath or difficulty breathing.
- A.
  
  True
- B.
  
  False
2.

Patient that meet the STEMI inclusion criteria shall be transported to the closest Cardiac Intervention Center by air or ground as long as the delivery time is not more than _________ greater than transport to the nearest ED.
- A.
  
  15 minutes
- B.
  
  10 minutes
- C.
  
  45 minutes
- D.
  
  60 minutes
3.

What is criteria on a EKG strip for a STEMI?
- A.
  
  ST elevation greater than 1 mm in two or more contiguous leads and a QRS complex that is narrower than 0.12 seconds.
- B.
  
  Posterior MI: ST depression greater than 1 mm in V1 and V2 with an R/S ratio of greater than equal to one and a narrow QRS complex.
- C.
  
  New Left Bundle Branch Block: If a previous EKG showed a narrow QRS complex and the current EKG shows a wide QRS complex.
- D.
  
  All of the above
4.

If a patient can not be delivered to a Cardiac Intervention Center within 45 minutes, a Fibrinolytic Therapy Checklist should be completed for STEMI and the patient should be transported to the nearest ED.
- A.
  
  True
- B.
  
  False
5.

If a patient does not meet the criteria for fibrinolytic therapy, consultation should be done with the nearest Cardiac Intervention Center and the nearest ED to determine the most appropriate receiving facility.
- A.
  
  True
- B.
  
  False
6.

What is the criteria that a patient must meet for the Fibrinolytic Therapy Checklist for STEMI?
- A.
  
  18 years or older
- B.
  
  Sign and symptoms of STEMI
- C.
  
  Hypoglycemia
- D.
  
  Patient cannot be delivered to a Cardiac Center with 45 minutes
7.

What is the exclusion criteria that a patient must meet for the Fibrinolytic Therapy Checklist for STEMI?
- A.
  
  Active internal bleeding within the last 21 days
- B.
  
  Known bleeding disorder
- C.
  
  Within 3 months of intracranial surgery, serious head trauma, or stroke
- D.
  
  Within 14 days of major surgery or serious trauma
- E.
  
  History of cancer of the brain
- F.
  
  Witnessed seizure at onset
- G.
  
  History of intracranial hemorrhage
8.

Patient who present with inferior wall MI, clear lung sounds, and hypotension should be given a ________?
- A.
  
  Fluid bolus of 250-500 mL of LR
- B.
  
  Fluid bolus of 2000 mL
- C.
  
  Nitroglycerin
- D.
  
  All of the above