Pharmacology - Alberta College of Paramedics

FLOW CHART FOR CARDIAC CHEST PAINABC’s100% O2Cardiac MonitorChief Complaint: Chest Pain or Discomfort Non TraumaticPatient History: Obtain SAMPLE History Obtain OPQRSTVital SignsPhysical Examination Findings: Responsive and alert SOB, chest pain Pale/Cool/clammyNoTransportCare asrequiredVitals q 5 min. Administer ASA as perlocal protocolsYesInitiate an IVIs Blood pressure above a100 mmHgYes Administer Nitro and reassess vitals (seenote)NoYes If Blood pressure is below 100mmHg administer a fluidchallenge (250 – 500 ml) andreassess*(If fluid challenge is unsuccessfultransport immediately)NOTE: If the patient’s systolic blood pressure drops by 1/3 with first Nitro administration, this patientcould be suffering a right -sided cardiac event, in which Nitro is contraindicatedEMT Pharmacology 36