The MI Chain of Command
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I have came up with a chain of command process with some research as I figured it'd be good to have for test and in future use! Does this sound right? What should be added/changed
>Activate Cardiac Response Team to ER
>Bring patient to exam room
>Ensure ABC's are OK
>Immediately obtain a 12 lead EKG
>Assess pt's S&S, Vitals, OLD CARTS, Pt hX (CHECK FOR PACEMAKERS), allergies
> Apply nasal cannula at 4L on 100% if O2 is less than 95%
> Have pt chew 325mg Aspirin
> Administer spray of nitroglycerin q5 minutes MAX 3. If pain is still there consider morphine.
> Obtain labs (Troponin, CK, CK-MB, Myoglobin) STAT
> Put in a second line if needed.
> Administer meds ordered. (Carefully watching platelet counts[heparin] and/or a goal of PTT 50-70secs)
Interventional Therapies if needed...