BCI chest pain does not…
radiate or respond to nitro
What part of heart is most affected w/ BCI?
Right ventricle
Why is the RV mostly affected?
bc it is right under the sternum
Where do you have to hit to affect LV?
Under arm - harder to do
Gives RV HF s/s
JVD
Hypotension
Tachycardia
What does the edema cause?
Changes in EKG over time
3 Main s/s with BCI
How to tx 1.
NOT Fibrinolytic therapy
(tPA)
How to tx 2
- HF - Semi-Fowlers Vasopressors SBP >90 Inotropes PRN
How to tx 3
ACLS protocl