Question

During your treatment of a patient with cardiac type chest pain, you have provided oxygen, IV access, nitroglycerin x3, and morphine x1. The patient is now pain free and the 12 lead ECG changes have resolved. At a minimum, how often should you repeat your reassessment phase during transport?

A) Every 5 minutes
B) Every 10 minutes
C) Every 15 minutes
D) Every 20 minutes

Answer 1

In such a case the reassessment phase should be conducted at a minimum of every 10 minutes. Therefore, the correct option is B).

Step-by-step explanation:

In the context of emergency medical care, reassessment is crucial to monitor the patient's response to interventions and ensure ongoing stability. After administering treatments such as oxygen, IV access, nitroglycerin, and morphine for cardiac-type chest pain, a 10-minute reassessment interval is recommended. This frequency allows the healthcare provider to evaluate the patient's vital signs, symptoms, and overall condition at regular intervals during transport.

The 10-minute reassessment interval strikes a balance between monitoring the patient's response to interventions and ensuring that any potential changes or complications are identified promptly. It aligns with standard protocols for managing cardiac emergencies during transport. Regular reassessment intervals are essential for detecting any deterioration or improvement in the patient's condition and adjusting the treatment plan accordingly.

This systematic approach to reassessment is based on evidence-based practices in emergency medicine. It ensures a proactive and responsive strategy to address any evolving issues in the patient's clinical status during transport. The goal is to provide optimal care and interventions in real-time, ultimately improving outcomes for patients experiencing cardiac-related symptoms.

Answer 2

The reassessment during transport for a patient with resolved cardiac-type chest pain, having received oxygen, IV access, nitroglycerin, and morphine, should occur at a minimum of every 15 minutes. Thus the correct option is C.

Explanation:

When managing a patient with cardiac-type chest pain and having administered oxygen, IV access, nitroglycerin, and morphine resulting in the patient becoming pain-free with resolved ECG changes, reassessment during transport remains crucial. Although the patient's condition has improved, it's essential to monitor their status regularly to detect any potential recurrence or changes in their condition.

Repeating reassessments at intervals ensures ongoing vigilance for any signs of deterioration or recurrence of symptoms. In this scenario, a 15-minute interval strikes a balance between continuous monitoring and not excessively interrupting the care provided or causing unnecessary discomfort to the patient during transport.

This interval allows sufficient time to observe the patient's response to the interventions and to detect any potential changes promptly. Regular reassessment is crucial in emergency situations to ensure timely intervention and appropriate adjustments in treatment if necessary, hence making every 15 minutes the recommended minimum interval for reassessment during transport in this case.

Therefore, the correct option is C.