RQI 2025 ACLS Healthcare Provider
1.Within the first 10 minutes, on the basis of the patient showing symptoms suggestive of myocardial ischemia, what will your first actions include (if not completed by EMS before arrival)?
oObtain a 12-lead electrocardiogram (ECG)
oAdminister a blood thinner
oAdminister aspirin and establish IV access
oActivate the ST-segment elevation myocardial infarction (STEMI) team
oIf SPO2 is less than 90%, start oxygen
oAssess airway, breathing, and circulation (ABCs)
oAdminister epinephrine 1 mg IV
oConsider nitroglycerin, morphine and a P2Y inhibitor: o Obtain a 12-
lead electrocardiogram (ECG)
oAdminister aspirin and establish IV access
oActivate the ST-segment elevation myocardial infarction (STEMI) team
oIf SPO2 is less than 90%, start oxygen
oAssess airway, breathing, and circulation (ABCs)
oConsider nitroglycerin, morphine and a P2Y inhibitor
2.His initial vital signs are HR 120/min, BP 135/88 mm Hg, RR 23/min, SpO2 87%, and temperature 37.3C. When considering oxygen saturation, what is your course of action?
oIntubate the patient immediately
oAdminister albuterol nebulizer
oDo not start oxygen
oStart oxygen at 4L/min via nasal cannula: o Start oxygen at 4L/min via nasal cannula
3.What additional question help you determine next steps?
oDo you take any medication?
oDo you have any allergies?
oWhen was the last time you went to the doctor?
oWhen did the symptoms start?
oHave you had any recent falls?: o Do you take any medication?
oDo you have any allergies?
oWhen did the symptoms start?
4.Your patient continues to say that he has chest discomfort. What treatment can you repeat as long as it is not contradicted by vital signs?
oMorphine sublingual every 1 to 3 minutes
oMorphine IV every 1 to 3 minutes oNitroglycerine sublingual or translingual every 3 to 5 minutes
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