FISDAP CARDIOLOGY STUDY GUIDE ANSWERS

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Acetylsalicylic Acid (ASA) o Class: Anti-Platelet o Description: Inhibits platelet aggregation (and thereby, further clot formation). This action results in an overall increase in survival from ac... ute MI. o Onset: within 30 minutes o Duration: several hours o Indications: Chest pain, ACS o Contraindications: Active GI bleed o Cautions: increased ICP, gerd, gout o Adverse Reactions: Typically none from a single EMS dose. Rare instances of nausea or allergic reaction could be encountered. o Dosage and Routes: 324 mg chewable o Common vial: ASA is indicated even if the pt is taking coumadin and plavix or other anticoagulant or anti platelet agents on a daily basis.  Nitroglycerin (Nitro) o Class: Anti-Anginal, Vasodilator, Anti-Hypertensive (nitrate) o Description: Arterial and venous vasodilator through relaxing vascular smooth muscle. Reduces cardiac afterload resistance and cardiac preload volume respectively. Myocardial oxygen consumption/demand is decreased. SBP is decreased. o Onset: Rapid vascular uptake within 3 minutes of SL dosing, 1-3 minutes IV o Duration: up to 30 minutes o Indications: Dyspnea - CHF, CP - uncertain etiology, ACS o Contraindications: hypotension, asymptomatic hypertension, erectile dysfunction (requires OLMC only) med [Show More]

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