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Medical: 5

Cardiology: 2 ════════════════════════════════════════════════════════════════════════════════════ ══════════════════════════

            • i)

              Patient is hypotensive/ hypoperfusing

            • ii)

              No change with pharmacologic intervention

          • (c)

            Second degree AV block

            • i)

              Patient is hypotensive/ hypoperfusing

            • ii)

              No change with pharmacologic intervention

          • (d)

            Complete AV block

            • i)

              Patient is hypotensive/ hypoperfusing

            • ii)

              No change with pharmacologic intervention

          • (e)

            Asystole

          • (f)

            Overdrive

            • i)

              Deter occurrence of recurrent tachycardia

      • d.

        Set-up

        • (1)

          Placement of electrodes

        • (2)

          Rate and milliampere (mA) settings

        • (3)

          Pacer artifact

        • (4)

          Capture

        • (5)

          Failure to sense

          • (a)

            Causes

          • (b)

            Implications

          • (c)

            Interventions

        • (6)

          Failure to capture

          • (a)

            Causes

          • (b)

            Implications

          • (c)

            Interventions

        • (7)

          Failure to pace

          • (a)

            Causes

          • (b)

            Implications

          • (c)

            Interventions

        • (8)

          Hazards

        • (9)

          Complications

          • (a)

            Interventions

  • D.

    Transport

    • 1.

      Indications for rapid transport

    • 2.

      Indications for no transport required

    • 3.

      Indications for referral

  • E.

    Support and communications strategies

    • 1.

      Explanation for patient, family, significant others

    • 2.

      Communications and transfer of data to the physician

  • VII.

    Angina pectoris

    • A.

      Epidemiology

      • 1.

        Precipitating causes

        • a.

          Atherosclerosis

        • b.

          Vasospastic (Prinzmetal's)

    • B.

      Morbidity/ mortality

      • 1.

        Not a self-limiting disease

      • 2.

        Chest pain may dissipate, but myocardial ischemia and injury can continue

      • 3.

        A single anginal episode may be a precursor to myocardial infarction

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────────────────────────── United States Department of Transportation National Highway Traffic Safety Administration Paramedic: National Standard Curriculum

20

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