STEMI HUSOP DA5
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Cardiac cell wall injury biochemical markers include:
- troponin I
- troponin T
- creatine kinase (CK)
What drug is used for chest pain not controlled by NTG?
Metoprolol is selective for
Metoprolol IV dose is ______ the PO dose.
Occasionally, __________ is given in the peri-infarction period especially when left ventricular dysfunction is present (EF <40%)
Use oxygen only if patient is __________
Hyperoxia is defined as
Pa02 > 300mm/Hg
_____________ can be used for immediate relief of angina or prophylaxis prior to anginal causing activities
Patients must have a nitrate free period of___________ in order to prevent _____________
- 8 to 12 hours
- nitrate tolerance
The ASA dose should be between _______ and ___________
ASA produces a rapid clinic antithrombotic effect caused by immediate and near total inhibition of ____________ production
Ticagrelor cannot be given with more than ____ ASA per day
Omeprazole inhibits ________ which reduces the effectivesness of _______________ and ___________.
P2Y12 antagonists include
Direct Thrombin Inhibitors Include
- unfractionated heparin
_____________ prevent new thrombus from being formed, but do not have much effect on thrombus already formed.
Direct thrombin inhibitors
___________, an IV DTI is commonly used in conjuction with “bail-out” _____________ (small single boluses) as it has a lower bleeding profile and carries no potential for heparin-induced _______________
IIB/IIIa agents include
Statin PCI therapy should consist of __________ pretreatment and _____________ post PCI.
- atorvastatin 80mg
- atorvastatin 10mg
Monitoring for effect of thrombolysis or angioplasty
- Monitor ST segment elevations
- Monitor EKG ST segment resolution- looking for at least a 50% reduction in the size ofthe initial ST segment elevation
- Monitor cardiac rhythm for 3 hours
- Monitor clinical signs, BP, chest pain, etc.
An ______________ should be prescribed for patients with a diminished ejection fraction (< 40%) post-MI
___________ or _____________ should be considered in all patients.
avoid ___________ if Scr>2.5mg/dl in men and 2.0mg/dl in women of CrCl < 30ml/min AND on ACE-I/ARB but does NOT have hyperkalemia (K>5meq/L)
Post MI complication include
- 1. pump failure = heart failure
- 2. arrhythmias
- 3. recurrent ischemia an reinfarction.
- 4. pericarditis
- 5. sudden cardiac death
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