Can someone please send me the latest treatment of STEMI and NSTEMI
-
O2
-
Tab aspirin
-
SL NTG
-
Morphine
-
Metoprolol
-
Enoxaparin
-
For pulmonary edema, lasix
-
Cath lab: thrombolysis.
NSTEMI: ABE-MOAN
-
Abciximab,
-
Beta-blockers
-
Enoxaparin
-
Morphin
-
O2
-
Aspirin
-
NTG.
STEMI
-O2
-Tab Aspirin 300mg chewable/SL + Tab Clopidogrel 300mg
- SL NTG (best NTG drip)
-Morphine for (pul edema+pain)
-Metprolol iv
-Enoxaparin
-Furosemide/ACE inhibitors (for pulm edema)
- Cath lab Primary PCI within 90mins
-Thrombolysis with Alteplase if PCI not available
In Inferior Wall MI never use Metoprolol & NTG (further increase bradycardia resulting in heart block)
NSTEMI
ABE MOAN
Abciximab
Beta blocker- Metoprolol
Enoxaparin
Morphine
O2
Aspirin
SL NTG
Delayed PCI if doesn’t improve.