Florida State Paramedic Practice Exam

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What is the standard initial treatment for an Acute Myocardial Infarction?

Beta-blockers and ACE inhibitors
ASA, Nitro, Morphine
Only Morphine
IV fluids and oxygen only

The correct answer is: ASA, Nitro, Morphine

The initial treatment for an Acute Myocardial Infarction (AMI) focuses on relieving pain, decreasing myocardial oxygen demand, and improving perfusion to the heart. The combination of ASA (Aspirin), Nitro (Nitroglycerin), and Morphine constitutes the standard approach for managing an AMI effectively. Aspirin is critical as it acts as an antiplatelet agent, reducing the likelihood of further clot formation in the coronary arteries, thereby helping to maintain blood flow to the heart muscle. Nitro serves to dilate the coronary arteries, which enhances blood flow and reduces the workload on the heart by decreasing preload and afterload. Morphine is utilized for its analgesic properties, providing relief from chest pain, and it can also help decrease anxiety, which can be beneficial during a myocardial infarction. This combination targets the critical aspects of treatment for an AMI: controlling pain, preventing progression of the infarction, and improving overall hemodynamic status. The other treatments listed may play roles in the patient's care but do not provide the immediate comprehensive management necessary in the case of an acute myocardial infarction.