Morphine (or fentanyl) for pain control, oxygen, sublingual or intravenous (IV) nitroglycerin, soluble aspirin 162-325 mg, and clopidogrel with a 300- to 600-mg loading dose are given as initial treatment.
- 1 What is the immediate management of ACS?
- 2 What is the priority of care for a patient diagnosed with ACS?
- 3 What do you do for ACS?
- 4 Is ACS an emergency?
- 5 How is anterior STEMI treated?
- 6 What is your goal for PCI when treating this patient?
- 7 Which medication is used to relieve ischemic pain and reduce myocardial demand?
- 8 What are the drugs used to treat an MI acutely?
- 9 Why is aspirin given for ACS?
- 10 Why is aspirin given for acute coronary syndrome?
- 11 How is STEMI diagnosed?
- 12 Which complication is most likely to occur after a myocardial infarction?
- 13 What is the most common symptom of myocardial ischemia and infarction?
- 14 What is a classic symptom of acute ischemic chest discomfort?
What is the immediate management of ACS?
Treatment for all patients with acute coronary syndromes. All patients with an acute coronary syndrome require immediate referral to an Emergency Department. Sublingual glyceryl trinitrate is often used initially for symptom relief in patients with chest pain due to a cardiac cause.
What is the priority of care for a patient diagnosed with ACS?
General priorities for patients with ACS are haemodynamic monitoring and close observation of vital signs. A review of fluid status can provide information about renal perfusion, as some patients may present with, or develop, heart failure.
What do you do for ACS?
Nitroglycerin improves blood flow by temporarily widening blood vessels. Antiplatelet drugs help prevent blood clots from forming and include aspirin, clopidogrel (Plavix), prasugrel (Effient) and others. Beta blockers help relax your heart muscle and slow your heart rate.
Is ACS an emergency?
Acute coronary syndrome often causes severe chest pain or discomfort. It is a medical emergency that requires prompt diagnosis and care.
How is anterior STEMI treated?
STEMI patients who present within 12 hours of symptom onset should receive treatment to try and open up the blockage known as reperfusion. This can either be by clot busting drugs given through the veins or by a procedure known as balloon angioplasty and stent placement (PCI).
What is your goal for PCI when treating this patient?
The goal of PCI in these patients is to keep neurological function intact to increase survival.
Which medication is used to relieve ischemic pain and reduce myocardial demand?
Medications. Medications to treat myocardial ischemia include: Aspirin. A daily aspirin or other blood thinner can reduce your risk of blood clots, which might help prevent blockage of your coronary arteries.
What are the drugs used to treat an MI acutely?
Beta blockers, glyceryl trinitrate and possibly ACE inhibitors work in this way. All patients with a suspected myocardial infarction should be given aspirin. It is a powerful antiplatelet drug, with a rapid effect, which reduces mortality by 20%. Aspirin, 150-300 mg, should be swallowed as early as possible.
Why is aspirin given for ACS?
Aspirin in Acute Coronary Syndrome 1: Aspirin acts to inhibit the activity of the cyclooxygenase enzyme and thus attenuates the production of prostaglandins and thromboxane. 2: The ADP receptor antagonists bind to the P2Y12 receptor to prevent ADP-induced platelet activation.
Why is aspirin given for acute coronary syndrome?
Aspirin is effective in reducing the blood clots that are blocking a coronary artery during an acute heart attack. Anyone who has already had a heart attack, or who has an increased risk of having one in the future, should always carry a few non-coated adult aspirins with them.
How is STEMI diagnosed?
Classically, STEMI is diagnosed if there is >1-2mm of ST elevation in two contiguous leads on the ECG or new LBBB with a clinical picture consistent with ischemic chest pain. Classically the ST elevations are described as “tombstone” and concave or “upwards” in appearance.
Which complication is most likely to occur after a myocardial infarction?
Ventricular free wall rupture. VFWR is the most serious complication of AMI. VFWR is usually associated with large transmural infarctions and antecedent infarct expansion. It is the most common cause of death, second only to LV failure, and it accounts for 15-30% of the deaths associated with AMI.
What is the most common symptom of myocardial ischemia and infarction?
When they do occur, the most common is chest pressure or pain, typically on the left side of the body (angina pectoris). Other signs and symptoms — which might be experienced more commonly by women, older people and people with diabetes — include: Neck or jaw pain.
What is a classic symptom of acute ischemic chest discomfort?
The most common symptom of myocardial ischemia is angina (also called angina pectoris). Angina is chest pain that is also described as chest discomfort, heaviness, tightness, pressure, aching, burning, numbness, fullness, or squeezing. It can feel like indigestion or heartburn.