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[CK] ACS mandatory

NTG:
Alternate dosing: ACCF/AHA guidelines for STEMI: Initial: 10 mcg/minute, with subsequent titration to desired blood pressure effect (ACCF/AHA [O'Gara 2013]).

BB:
25

ASA(325)

 +- P2Y12(not in UA; because of high chance of CABG esp. DM)

STATIN(80)

HEP infusion(4000 -> 10ml/hr)

Morphine IVP 4mg


====================================
Pain: NTG, Moprhine, BB => 3

Thrombotics: ASA, STATIN(Antiinflammatory), Hep, P2Y12  => 3~4

No ACEi for now. (long term => mainly after cath, continue esp. in STEMI = mostly)

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[CK] Preventing aspiration.

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[CK] STEMI_EKG learning.

892 × 548 저작권 보호를 받는 이미지일 수 있습니다.    자세히 알아보기 ECG - Common STEMI Mimics | Grays Integrative Physiology Grays Integrative Physiology Mimics will not produce reciprocal changes. If RCs in related leads, should consider it a STEMI. 방문 추가 컬렉션 공유

[CK] LVAD parameter review. [ ] tree !!

Vital(BP): hypo, hyper. PEx(JVP): volume status -------------------------------- 1st. PI(3-7)= contractility and volume status(high volume only cause high PI) overload = high PI. low volume = low PI. (=low volume = low preload = RV failure, arrhythmia same thing) HTN = low PI low BP = low PI. (only overload cause high PI = with high preload, but otherwise, BP, volume => cause low PI) 2nd. Flow(4-6) overload, 3rd. Power(surge = only thrombus, 4-6) hypotension route (BP) => high VADFL = vasodilator, sepsis = R/O => low VADFL(most common)  with high JVP => RV failure, PE/tamponade, pneumothorax                                                                               , then adjust LVAD(higher)                ...