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Old 08-25-2011
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Default acute coronary syndrome

Lets clarify the main steps of managing acute coronary szndrome pts.

First steps are risk stratification, ECG, and Troponin I or T or CK-MB.
What medications would you give in case of STEMI and NSTEMI immediately?
except for the clot busters u give all the medication thats are
oxygen
nitrates
beta blockers
heparin
asprin
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Old 08-25-2011
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Default

Quote:
Originally Posted by aghammoud85 View Post
Lets clarify the main steps of managing acute coronary szndrome pts.

First steps are risk stratification, ECG, and Troponin I or T or CK-MB.
What medications would you give in case of STEMI and NSTEMI immediately?
except for the clot busters u give all the medication thats are
oxygen
nitrates
beta blockers
heparin
asprin
chest pain does not change with position and respiration and it should be dull and squeezing in nature--->ecg with in 1 hr--->if patient approach after 3-4 hrs later then enzymes ckmb elevated so --->ecg and enzymes.


if patient came after 2 days then troponin are elevated so we will look for that and ecg.

if patient came with 2nd episode of chest pain 3 days after and ckmb elevated indicates reinfraction.

Immidiatly should be aspirin--next oxygen, morphine, nitrates and bblocker can be given at any time.


STEMI involves thrombus so thrombolytics can be given as apart of reperfusion therapy.

NSTEMI thrombolytics no role and if required only anticoagulents given.
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