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Find this treatment plan & TONS of others at your finger tips with our ER Cheat Sheet! Link in our bio⁣
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𝗔𝗼𝗿𝘁𝗶𝗰 𝗱𝗶𝘀𝘀𝗲𝗰𝘁𝗶𝗼𝗻 is a serious condition where a 𝘁𝗲𝗮𝗿 𝗶𝗻 𝘁𝗵𝗲 𝗶𝗻𝗻𝗲𝗿 𝗹𝗮𝘆𝗲𝗿 𝗼𝗳 𝘁𝗵𝗲 𝗮𝗼𝗿𝘁𝗮 allows blood to enter and separate its layers. Always remember, an 𝗮𝗼𝗿𝘁𝗶𝗰 𝗱𝗶𝘀𝘀𝗲𝗰𝘁𝗶𝗼𝗻 𝗶𝘀 𝗮𝗻 𝗲𝗺𝗲𝗿𝗴𝗲𝗻𝗰𝘆 and you should act fast to save the patient.⁣
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If you have a patient that has sudden and severe chest pain, act quickly with an EKG to rule out a myocardial infarction. Once that is ruled out, your mind should go to the possibility of your patient having an aortic dissection. The patient may present with severe abdominal or back pain as well, depending on where the aortic dissection is. If the blood flow is pretty significantly impeded, there may also be some slight EKG changes as well. Below are the main treatments you will find and do in the ER.⁣
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𝗧𝗿𝗲𝗮𝘁𝗺𝗲𝗻𝘁:⁣
𝗕𝗹𝗼𝗼𝗱 𝗣𝗿𝗲𝘀𝘀𝘂𝗿𝗲 𝗠𝗮𝗻𝗮𝗴𝗲𝗺𝗲𝗻𝘁: Controlling blood pressure is crucial to reduce shear forces on the aorta. Beta-blockers such as labetalol are commonly used to lower heart rate and decrease the force of each heartbeat, reducing stress on the aortic wall.⁣
𝗦𝘂𝗿𝗴𝗶𝗰𝗮𝗹 𝗶𝗻𝘁𝗲𝗿𝘃𝗲𝗻𝘁𝗶𝗼𝗻 is usually necessary for Type A dissections. This involves replacing the damaged segment of the aorta with a graft. Rapid surgical intervention is crucial to prevent further complications.⁣
𝗣𝗮𝗶𝗻 𝗠𝗮𝗻𝗮𝗴𝗲𝗺𝗲𝗻𝘁: Severe pain is a hallmark symptom. Medications such as morphine or fentanyl are commonly used. Controlling pain is essential for patient comfort and to reduce stress, which could contribute to elevated blood pressure and worsen the dissection.⁣
𝗕𝗹𝗼𝗼𝗱 𝘁𝗿𝗮𝗻𝘀𝗳𝘂𝘀𝗶𝗼𝗻: A blood transfusion may be necessary due to the loss of blood, and will vary on a case by case basis, as well as per your doctor

𝗖𝗼𝗺𝗺𝗲𝗻𝘁 “𝗖𝗵𝗲𝗮𝘁 𝗦𝗵𝗲𝗲𝘁” 𝗮𝗻𝗱 𝗜’𝗹𝗹 𝘀𝗲𝗻𝗱 𝘆𝗼𝘂 𝘁𝗵𝗲 𝗹𝗶𝗻𝗸! ⁣
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🚨𝗗𝗼𝗻’𝘁 𝗯𝗲 𝘁𝗵𝗶𝘀 𝗻𝘂𝗿𝘀𝗲! Grab our ER Cheat Sheet 2.0 Version and have confidence with 𝗶𝗺𝗺𝗲𝗱𝗶𝗮𝘁𝗲 𝗮𝗰𝗰𝗲𝘀𝘀 𝘁𝗼 𝗲𝘀𝘀𝗲𝗻𝘁𝗶𝗮𝗹 𝗶𝗻𝗳𝗼𝗿𝗺𝗮𝘁𝗶𝗼𝗻 𝗼𝗻 𝟲𝟵 𝗱𝗶𝘀𝗲𝗮𝘀𝗲𝘀 & 𝗽𝗿𝗼𝗰𝗲𝗱𝘂𝗿𝗲𝘀 𝗼𝗳 𝘁𝗵𝗲 𝗺𝗼𝘀𝘁 𝗰𝗼𝗺𝗺𝗼𝗻 things you will see in the ER!⁣
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🚨𝗧𝗛𝗘𝗥𝗘 𝗜𝗦 𝗜𝗡𝗖𝗢𝗥𝗥𝗘𝗖𝗧 𝗜𝗡𝗙𝗢𝗥𝗠𝗔𝗧𝗜𝗢𝗡 𝗜𝗡 𝗧𝗛𝗜𝗦 𝗩𝗜𝗗𝗘𝗢 - 𝗰𝗮𝗻 𝘆𝗼𝘂 𝗳𝗶𝗻𝗱 𝗶𝘁?! What did the nurses do 𝗪𝗥𝗢𝗡𝗚 in this educational nursing skit?! Watch the skit first, then keep reading to know the answers to see if you caught them all!⁣
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⁣🚨The nurse did 𝗙𝗜𝗩𝗘 things wrong in this video:⁣
1. You never want to delay an 𝗘𝗞𝗚 in 𝗔𝗡𝗬 patient who has chest pain! Get them back to do an EKG STAT!⁣
2. You want 𝗙𝗥𝗘𝗤𝗨𝗘𝗡𝗧 𝗩𝗜𝗧𝗔𝗟𝗦 in 𝗦𝗧𝗘𝗠𝗜’𝘀 meaning at least every 5 minutes! These patients are typically unstable and can tank FAST!⁣
3. Newer studies have shown that it does not help putting the patient on oxygen 𝗨𝗡𝗟𝗘𝗦𝗦 it’s needed!⁣
4. BP should 100% be taken prior to nitro and morphine! I’ve definitely had to hold meds before because the BP tanked!⁣
5. Heparin is 𝗡𝗢𝗧 given IM! In STEMI’s heparin is typically given through the IV but could potentially be givens subcutaneously but never intramuscularly⁣
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🚨𝗢𝘁𝗵𝗲𝗿 𝗻𝗼𝘁𝗲𝘀 𝗻𝗼𝘁 𝗶𝗻 𝘁𝗵𝗶𝘀 𝘃𝗶𝗱𝗲𝗼⁣
1. Remember there are contraindications to aspirin like if there is an active bleed⁣
2. You would typically want normal saline infusing⁣
3. If they come from the field always make sure you redo the EKG⁣
4. Try to have them undressed and in the gown for cath lab

A reminder that taking care of yourself is not selfish. You matter too, and it is okay to make yourself a priority.

Share with your nursing friends! ❤️