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Cardiac Ischemia

Routes of Medication Administration

Route of admin for Morphine in ACS only includes IV in the PCS. If IV access is unobtainable and nitroglycerin is contraindicated due to no history, I think it is reasonable to give morphine IM / SC for severe pain. From a risk/benefit point of ...

ASA administration with an allergy or sensitivity

Can you please define the contraindication for cardiac ischemia medical directive, of allergy or sensitivity to NSAIDs for ASA administration. I recently came across a patient with allergies to ibuprofen and ketorolac however is prescribed low do...

Cardiac Ischemia Timing

Considering the Cardiac Ischemia MD - Our indications are "Suspected Cardiac Ischemia" which encompasses various signs and symptoms but it does not denote a time frame. We recently had a call where the patient was complaining of approx 10s episod...

Nitro for Rate Related Ischemia

The recent direction from base hospital was to administer ASA regardless of the reason behind cardiac ischemia. Example: rate related pain associated with a tachydysrhythmia. Supposing you arrive to a patient who recently experienced uncontrolled...

STEMI Equivalent Bypass

Fentanyl for Cardiac Ischemia

Is CVAD considered IV access for Nitro conditions? (Scenerio)

Acute onset rapid Afib - Should the cardiac ischemia medical directive be considered for symptoms of palpitation, chest pain and similar ischemic symptoms

Companion Document Cardiac Ischemia - Prior Nitro History as "previously prescribed nitro"

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