24. Mr. Paint (46 yo) is complaining of chest pain that is unrelieved by rest. He seeks medical attention in a local ER for c/o chest pain. He is 46 years old and has no PMH or NKA. His vital signs include BP of 149/90, AHR of 96, and RR 20.
What is the initial drug of choice for pain management with Mr. Paint & explain how this type of drug would work for the relief of chest pain?
What priority tests would you include for Mr. Paint? (list 2)
If Mr. Paint's tests (that you ordered) confirm the diagnosis of an acute MI discuss the criteria needed for him to be a candidate for thrombolytic therapy. 2 points
If Mr. Paint's tests confirm an anterior wall MI, which artery is occluded & if Mr. Paint's MI is an anterior wall MI which chamber of the heart is mainly affected?
List one cardiac drug that will improve the contractility of the heart and explain how it works.
If the drug that you choose to improve contractility does not work explain an additional intervention (not a drug or CAM) that could improve the contractility of the heart.
After two days of treatment Mr. Paint becomes unresponsive with ventricular fibrillation displayed on the CM, explain the characteristics of this dysrhythmia and the management of this rhythm.
Explain the difference between defibrillation (unsynchronized cardioversion) verses synchronized cardioversion.