Cardiac Patient Management
Cardiac Patient Management
Information Covered:
- Assessment
- Primary Survey
- Level of responsiveness
- Restlessness, anxiety
- Feeling of impending doom
- Airway
- Breathing
- Rate and depth
- Effort
- Breath sounds
- Significance of findings
- Circulation
- Pulse
- rate
- quality
- Skin
- color
- temperature
- moisture
- edema
- Blood pressure
- Pulse
- Level of responsiveness
- History
- Chief complaint
- History of the present illness
- Chest discomfort/pain
- signs and symptoms
- OPQRST evaluation
- Respiratory
- dyspnea
- continuous
- exertional
- non-exertional
- orthopneic
- cough
- dry
- productive
- dyspnea
- Related signs and symptoms
- nausea/vomiting
- fatigue
- palpitations
- headache
- recent trauma
- Chest discomfort/pain
- Past medical history
- SAMPLE history
- Previous heart disease/surgery
- angina
- previous AMI
- hypertension
- heart failure
- valve disease
- aneurysm
- pulmonary disease
- diabetes
- COPD
- renal disease
- Current/past medications
- prescribed
- over-the-counter
- home remedies
- recreational drug use
- Family history
- Secondary Survey
- Primary Survey
- Management (refer to the current American Heart Association guidelines)
- Place in proper position
- Evaluation and appropriate management of ventilations/respirations
- Oxygen saturation evaluation
- pulse oximetry
- May be unreliable in cardiac arrest, toxic inhalation
- Appropriate management of any related ventilatory/respiratory compromise
- BVM assistance
- PEEP
- CPAP/BiPAP
- MTV/ATV
- Appropriate oxygen therapy
- Appropriate management of any related ventilatory/respiratory compromise
- Evaluation and appropriate management of cardiac compromise
- Manual and auto BP
- Mechanical CPR
- AED
- Pharmacological interventions
- Aspirin
- Nitroglycerin
- Oral glucose
- Consider AEMT/Paramedic assistance at the scene
- Appropriate transportation
- Specific Cardiovascular Emergencies (refer to current American Heart Association guidelines)
- Acute Coronary Syndromes (ACS) Heart Failure
- Hypertensive Emergencies
- Systolic BP greater than 160 mmHg
- Diastolic BP greater than 94 mmHg
- Signs and symptoms
- Strong, bounding pulse
- Skin warm, dry, or moist
- Headache
- Ringing in ears
- Nausea/vomiting
- Nose bleed
- Assessment
- Cardiac Arrest
- Pharmacological Agents
- Aspirin
- Generic and trade names
- Indications
- Contraindications
- Actions
- Side effects
- Precautions
- Expiration date
- Dosage
- Administration
- Nitroglycerin
- Generic and trade names
- Indications
- Contraindications
- Actions
- Side effects
- Precautions
- Expiration date
- Dosage
- Administration
- Role of Medical Oversight in Medication Administration
- Patient Assisted Administration
- Documentation
- Aspirin
- Consider Age-Related Variations for Pediatric and Geriatric Patients for Assessment and Management of Cardiac Compromise
- Pediatric
- Cardiac problems typically associated with congenital heart condition
- Cardiovascular compromise often caused by respiratory compromise
- Geriatric -- typical MI presentation often related to other underlying disease processes
- Diabetes
- Asthma
- Pediatric
Content Creator: James Stone
CAPCE Course Number: 20-EMTP-F3-7101
Total CE Hours: 1
Level: Basic
NJ Course Number: 1689303604382
EMT-CE uses the NEMSES guidelines as the foundation for every course outline.