Acute coronary syndrome.docx

Acute coronary syndrome Restore blood flow so that muscle does not die Radiate chest pain radiaites to let arm and up to their neck A diagram of a human body Description automatically generated Dying heart muscle What we see on an ekg Radiating chest pain Chest pain- sublinqual nitroglycerin...

Acute coronary syndrome Restore blood flow so that muscle does not die Radiate chest pain radiaites to let arm and up to their neck A diagram of a human body Description automatically generated Dying heart muscle What we see on an ekg Radiating chest pain Chest pain- sublinqual nitroglycerin (first dose) take the second dose 911 Early hysterectomy  Troponins are the most detacble Stemi look like a tomb stone -complete blockage or ca (bad urgent) Nstemi- partial blockage A person holding his chest Description automatically generated mci- goes to cath lab- angioplsst balloon stent or cabg  Pci- procedure A screenshot of a computer Description automatically generated Morhine -- vasodilator of acute coronanry arteries Nitrates decrease preload Chew up the enteric coated aspirin  You don't want to impair absorption in this setting Gap drugs you will use this alongside an anticoagulants  Lmwh- enoxaparin or bilvadirudin(preferred ins temi) Platlet aggregation is being targeted by aspirin Avoid nsaids both selective and nonselevtice no ketorolac ir nifedipine -- increase death A diagram of a plant Description automatically generated  Clopiderol needs Avoid ppis Ticagalor -- load pt Effeint needs to be given in its original container -- to protect it from moisture Cangelor -- injectable pgy2 inhibitor Clopidegreol avoid esomeprazole (Nexium) and omeprazole (Prilosec) loading dose followed by a maintenance dose  A white background with black text Description automatically generated'tnkase- bolus Recent surgery- cant use tpa Bleeding Fibrinoloytics only used in STEMI (complete blockage)  Oral agent A close-up of a prescription Description automatically generated They will be on aspirin for the rest of theire lives Dapt- dual anti platlet therapy BB permantly for heart failure  Apap if possible Naproxen -- lowest cv risk if you have to use a NSAID Ppi is protective of gi bleed Asa forever p2712 a year