Читать книгу Clinical Cases in Paramedicine - Группа авторов - Страница 255

RR: 18 bpm

HR: 70 bpm

BP: 125/85 mmHg

SPO₂: 98%

Blood glucose: 5 mmol/L

Temperature: 37 °C

12 lead ECG: Sinus rhythm

1 The patient is still complaining of 2/10 pain. What treatment plans would you advise for this case?The patient should be given sublingual GTN and IV pain relief.We are treating this patient as having acute coronary syndrome (ACS), therefore we need to reduce her pain to salvage myocardial tissue.As long as GTN is not contraindicated, this should be continued and IV pain relief continued.A 12 lead ECG should be continued while the patient is transported to hospital, looking for any ischemic changes.The patient should remain monitored during transport and until handed over.Consider transporting to an ACS facility if recommended in a local protocol.

2 What are some risk factors for ACS that should be addressed in your questioning?Family history of ACS.Stress levels, e.g. work type, work/life balance, diet, exercise.Advancing age.Male.Smoking.Diabetes mellitus.History of prior ischemic heart disease.