Initial medical therapy during STEMI consists of oxygen administration, antiplatelet therapy (aspirin, thienopyridines and glycoprotein IIb/IIIa inhibitors), anticoagulation, anginal pain relief with nitrates and morphine, and beta-blockade.
Thereof, do you give heparin in STEMI?
Heparin (i.e. “unfractionated”) bolus dose of 5000 units should be given in cases of patients who are to receive PCI for their STEMI.
Consequently, how do you reference NICE guidelines?
In text, first citation: (National Institute for Health and Care Excellence [NICE], 2013) or National Institute for Health and Care Excellence (NICE, 2013). In text, subsequent citations: (NICE, 2013) or NICE (2013).
What is ACS protocol?
The most frequently used regimen is IV metoprolol 2-5 mg given every 5 minutes (up to 15 mg total) followed by 25-100 mg given orally twice a day. Beta-blockers should not be used acutely in patients with cardiogenic shock or signs of heart failure on presentation.
What is STEMI nice?
These include ST-segment elevation myocardial infarction (STEMI), non-ST-segment elevation myocardial infarction (NSTEMI) and unstable angina. The guideline aims to improve survival and quality of life for people who have a heart attack or unstable angina.
What is the best treatment for ST elevation MI STEMI?
Primary percutaneous coronary intervention (p-PCI) has become the treatment of choice for patients presenting with ST-segment elevation myocardial infarction (STEMI) when it can be performed expeditiously by an experienced team.
What is the preferred treatment for an acute myocardial infarction?
1. A patient with a large acute myocardial infarction may be concurrently treated with aspirin, streptokinase, heparin and an ACE inhibitor. 2. Streptokinase is preferred to tissue plasminogen activator as it has a greater effect on cardiovascular mortality.
What meds are given during a STEMI?
Medications for the Treatment of Acute Coronary Syndrome
| Therapy | Recommendations for STEMI |
|---|---|
| Atorvastatin (Lipitor) | 40 to 80 mg per day |
| Morphine | 4 to 8 mg IV every five to 15 minutes as needed |
| Nitroglycerin | 0.4 mg sublingually every five minutes, up to three doses as blood pressure allows |
| 10 mcg per minute IV |
When should I start ACS treatment?
Treatment should be started as soon as an ACS is suspected but should not delay transfer to hospital.
- Pain relief should be offered as soon as possible with glyceryl trinitrate (sublingual or buccal). …
- A loading dose of aspirin should be given as soon as possible.
Why are ACE inhibitors used after MI?
Definition. ACE inhibitors and ARBs are two medications that are commonly used in the post-MI patient. These medicines work by inhibiting the renin-angiotensin aldosterone system at two different points. The ACE inhibitors prevent the conversion of angiotensin 1 to angiotensin 2.