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Myocardial Infarction - Coggle Diagram
Myocardial Infarction
Cause: Occlusion of coronary vessel
Symptoms
Severe pain in chest that may radiate to neck, shoulder, and jaws (if history of angina may not respond to nitroglycerin)
Palpitation
Tachycardia
Dyspnea
Cyanosis
Diaphoresis
Weakness
Impending doom
PABCD Treatment
P: Upright/ Semi reclining
A & B: Activate EMS; proceed with basic life support; amin oxygen nasal cannula (4-6 L/minute flow rate) or with face mask 15 L/minute
C: Monitor pulse; proceed with CPR only if patient shows signs of cardiac arrest
D: Admin nitroglycerin 0.2-0.6 sublingually - 3 times over 15 min period - provided systolic BP stays > 100
D: If patient is not allergic to aspirin; admin 160-325 mg - chewed and absorbed in mouth
D: Reassure patient; proceed with BLS if patient is unconscious
IF TRAINED; and if patient does not respond to 3 doses of nitroglycerin; admin morphine sulfate 2-4 mg I.V.
Recovery Signs and
Deterioration Signs
Recovery: Patient appears stable; pain lessens; need for transport to hospital STILL NECESSARY
Deterioration: Cardiac or respiratory arrest; loss of consciousness; CPR fails
Angina VS. AMI
Angina does not case permeant damage and AMI does
Angina is a warning sign and AMI is medical emergency
Angina is short lived and manageable & AMI is prolonged and requires immediate intervention
Emergency Care
Sudden cardiac arrest; admin BLS
Transfer to hospital; accompany patient in ambulance if possible
Arrythmias: do NOT admin drugs unless EKG is on site
