Medical Emergencies

CK-MB : first to be elevated, appears within 3-6 hr

Troponin: peaks in 4-12 hrs

thrombolytic therapy (tPA) if within 6 hrs

bedrest -- relieve stress on heart, semi-fowlers

oxygen

beta blockers

morphine  (reduces preload, afterload, anxiety)

dysrhythmics

anticoagulants (heparin, coumadin)

flexion and interal rotation of forearms and hands

result of contusion/head injury

extension of arms and legs, pronation of arms

due to head injury

VS hourly

monitor LOC - pupils, muscle strength, verbal response, respiratory fx

ELEVATE head of bead 30-45 degrees (promote venous drainage)

support neck and prevent movement, no valsalva

reduce environment stimulus

restrict fluids

PATENT airway

keep HOB 15-30 (prevent inc. ICP)

admin thrombolytics within 3 hours onset of symptoms