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9 Cards in this Set
- Front
- Back
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Dx of ACS |
troponin I & T 12 lead EKG: -UA: chest pain with negative cardiac enzyme -NSTEMI: positive cardiac enzyme w/o ST elevation -STEMI: positive cardiac enzyme w/ ST elevation |
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Treatment of NSTEMI |
MONA +GAP-BA(morphine, oxygen, nitrate, asa+GP2b/3a receptor antagonist, anticoagulant, p2y12 inhibitor(ticagrelor slighly preferred, plavix for both PCI and management, prasurgrel only for PCI), beta blocker, ACEi. |
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fibrinolytics |
only used for STEMI abciximab(ReoPro) eptifibatide(Integrilin) |
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Avoid |
NSAIDS except asa IR nifedipine |
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P2Y12 inhibitors |
don't start in pt going CABG surgery Plavix(clopidogrel), Effient(prasurgrel), Brilinta(ticagrelor) |
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STEMI treatment |
MONA+GAP-BA+PCI If PCI can't be given in 120 min of medical contact, otherwise fibrinolytic should be given. |
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T-PA, rt-PA, Activase |
alteplase Fibrinolytics |
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TNKase |
tenecteplase fibrinolytics |
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Long term medical management in patients s/p MI(secondary prevention) |
asa, p2y12, ACEi, BB, NTG, aldosterone antagonist, statin |
