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A Sinus Rhythm with ST Elevation (STEMI) ST elevations signifies an occlusion of one of the coronary arteries most commonly caused by a thrombus or an embolus. STEMI ST-elevation myocardial infarction) can be described as mild, moderate, or severe deviations from the baseline or isolectric line. The higher the elevation in the ST segment of the ECG, the more symptoms are present, greater damage and the greater a greater risk for cardiac arrest.
Various underlying rhythms can occur. INTERVENTIONS: based on AHA 2011 Guidelines (American College of Cardiology Foundation/American Heart Association) Oxygen – 4 L via NC titrate to effect to maintin SaO2 94% or greater, Aspirin – 160-325 mg chewable or suppository, Nitroglycerin -0.3-0.4 mg spray/sublingual every 3-5 mins and x3 Morphine Sulphate – 2-4 mg IV titrate to effect; this may be repeated 2-8 mg every 5-15 minute intervals. Follow AHA STEMI guidelines and assess for contraindications before medication administration.