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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


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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] 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
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[CK] [ ] IM NARLOXONE 1MG IVP(0.4 - 2MG) REPEATING 2-3MINUTES (UPTO 10MG, MAY REPEAT 20-60MINS AS WELL)

IV, IM, SubQ: Initial: 0.4 to 2 mg; may need to repeat doses every 2 to 3 minutes. A lower initial dose (0.1 to 0.2 mg) should be considered for patients with opioid dependence to avoid acute withdrawal or if there are concerns regarding concurrent stimulant overdose (Mokhlesi 2003). After reversal, may need to readminister dose(s) at a later interval (ie, 20 to 60 minutes) depending on type/duration of opioid. If no response is observed after 10 mg total, consider other causes of respiratory depression. PEAK: 15MINUTES  HALF: 3 HOURS. 
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