Like this study set? Create a free account to save it.

Sign up for an account

Already have a Quizlet account? .

Create an account

Is the first spray of nitro before or after initiating transport?


Indications for chest pain protocol

Presentation suggests cardiac, Hx of heart disease, and would take Rx nitro...

OR...presentation suggests cardiac but no Rx nitro because this is 1st episode (skip nitro step).

Contraindications for ASA

Inability to swallow
Allergy to ASA
Active peptic ulcer or GI bleed
Pediatric pt

Contraindications for nitro

BP 100 or worse
Viagra within 24hr
Levitra within 24hr
Cialis within 48 hr

What to check before each spray of nitro

Pain scale and BP

Dosage/route/frequency of nitro

0.4 mg SL q5min x up to 3 doses

Dosage/route/frequency of ASA

160-162 mg PO (chewable) including their own, once following 1st nitro.

If pain persists after 3 doses nitro (or contraindicated nitro), how do you proceed?

Entonox PRN 5 min post-nitro. Nitro x 3 may be restarted 30 min after first dose of nitro. Stop Entonox 5 min prior to nitro.

Chest pain is completely relieved for more than 5 min, but then returns. What now?

Restart nitro x up to 3 doses (or Entonox if nitro contraindicated).

When do you transport during the chest pain protocol?

Ideally after the 1st spray of nitro, but before ASA administration.

Any extra things to do in the primary during the chest pain protocol?

History including meds, allergies, med conditions, rule in cardiac issue, rule out contraindications, and pain scale.

Summary of chest pain protocol:

Nitro, transport, ASA, nitro?, nitro?, Entonox?, nitro? etc

Please allow access to your computer’s microphone to use Voice Recording.

Having trouble? Click here for help.

We can’t access your microphone!

Click the icon above to update your browser permissions and try again


Reload the page to try again!


Press Cmd-0 to reset your zoom

Press Ctrl-0 to reset your zoom

It looks like your browser might be zoomed in or out. Your browser needs to be zoomed to a normal size to record audio.

Please upgrade Flash or install Chrome
to use Voice Recording.

For more help, see our troubleshooting page.

Your microphone is muted

For help fixing this issue, see this FAQ.

Star this term

You can study starred terms together

Voice Recording