you would use clopidogril instead of abcximab. in MTB it says abcximab does not help in STMI. BUT in old archers video he used clopidogril, abcximab, and heparin in the same patient before undergoing angioplasty.
and the reason for using them togeather, he said was theres a better outcome when you use different methods of anticoagulation.
You won't use abciximab in STEMI but you will will use clopidogrel. Use it for 9 months if you put a stent as it decreases the chances of restenosis, else I think you use for 1-2 months.
STEMI -
Prior to PCI - aspirin + prasugrel or ticagrelor ( if not CI) before PCI + heparin + GP 2b/3A inh (usually not time to start this because u need to cath the pts asap)
you give abciximab for 12 hours after PCI in STEMI.
Discharge medications in STEMI -
aspirin
clopidogrel for 12 mo if stent
b-blocker
statins
ACE-i if EF less than 40 %
yoo..Shooot me a msg. when you are free and we'll practice ccs. I think i have the hang of the software and the algorithm. Now its just practice. STill helps to practice with others....
skype: kaisstanazai
Yes Its quite interesting! I just hope I dont end killing a patient haha
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