TREATMENT OF MYOCARDIAL INFARCTION ( MI )

-

 1. INITIAL MEASURES:

       1. HOSPITALIZATION ( IMMEDIATE )

       2. HIGH FLOW OXYGEN 

       3. I/V ACCESS

       4. ECG  MONITORING

2. PHARMACOLOGICAL THERAPY:

       1. ANTIPLATELET : ASPIRIN 300MG

                                           CLOPIDOGREL 300MG

       2. ANALGESICS : I/V MORPHINE WITH ANTIEMITICS

       3. ANTIANGINAL : SUBLINGUAL GTN (OR) B-BLOCKERS (IF, THERE IS NOT ANY                       CONTRAINDICATIONS )

       4. THROMBOLYTICS / ANTICOAGULATION: 

             IF PATIENT COMES WITHIN 12 HOURS : STEMI : THROMBOLYSIS: STREPTOKINASE

             IF PATIENT COMES AFTER 12 HOURS : NSTEMI :ANTICOAGULATION:  LMWH (ENOXAPARIN)

3. REPERFUSION THERAPY:

       1. PRIMARY PCI [ PERCUTANEOUS CONONARY INTERVENTION ]

       2 . CABG [ CORONARY ARTERY BYPASS GRAFTING ]

Comments

Post a Comment

Popular posts from this blog

EASY WAY TO REMEMBER: BUNDLE BRANCH BLOCK

-
Image
 ECG:  BUNDLE BRANCH BLOCK (BASICS)  THERE ARE 3 TYPES OF BBB( RIGHT, LEFT AND COMPLETE) EASY WAY TO FIND OUT BUNDLE BRANCH BLOCK : IF YOU NOTICED  (BUNNY EARS FORMATION OR M SHAPE WAVES IN LEADS) THEN WE HAVE TO FIND OUT WHICH LEADS WHETHER IT'S LEFT OR RIGHT FOR EXAMPLE: RIGHT BBB ( BEST SEEN IN LEADS V1,V2,V3)                               LEFT BBB ( BEST SEEN IN LEADS V4,V5,V6) RIGHT BBB INDICATES PROMBLEMS IN THE RIGHT SIDE OF THE HEART AND LEFT BBB INDICATES LEFT SIDE. RIGHT BUNDLE BRANCH BLOCK: WE CAN NOTICE M-SHAPED OR BUNNY EARS FORMATON WAVES IN LEADS :V1,V2,V3 (HERE YOU CAN SEE M-SHAPED WAVES IN V1,V2,V3) SO, IT IS RIGHT BBB LEFT BUNDLE BRANCH BLOCK: WE CAN NOTICE M-SHAPED OR BUNNY EARS FORMATION WAVES IN LEADS: VL,   V4,V5,V6 ( HERE YOU CAN SEE M-SHAPED WAVES IN LEADS:VL,V5,V6) SO, IT IS LEFT BBB COMPLETE BUNDLE BRANCH BLOCK: IF YOU SEE M-SHAPED WAVES IN LEDS V1-V6 ON BOTH RIGHT AS WELL LEFT IT INDICATES COMPLETE BBB
Read more

EASY WAY TO REMEMBER: WPW SYNDROME

-
Image
 WOLFF-PARKINSON-WHITE SYNDROME (WPW) BASICS SIMPLE CONCEPT:  PR-INTERVAL (SHORT).                                    DELTA WAVE.                                    QRS COMPLEX (LONG) OVERVIEW: THE ONLY NORMAL ELECTRICAL CONNECTION BETWEEN THE ATRIA AND VENTRICLES IS THE HIS BUNDLE  . SOME PEOPLE, HOWEVER, HAVE AN EXTRA (OR) "ACCESSORY" CONDUCTING BUNDLE, A CONDITION KNOWN AS THE WPW SYNDROME. THE ACCESSORY BUNDLES FORM A DIRECT CONNECTION BETWEEN THE ATRIUM AND THE VENTRICLE, USUALLY ON THE LEFT SIDE OF THE HEART, AND IN THESE BUNDLES THERE IS NO (AV-NODE) TO DELAY CONDUCTION. A DEPOLARIZATION WAVE THEREFORE  REACHES THE VENTRICLE EARLY AND PRE-EXCITATION OCCURS. PR-INTERVAL SHORT, AND THE QRS COMPLEX SHOWS AN EARLY SLURRED UPSTROKE CALLED A "DELTA WAVE". THE SECOND PART OF QRS IS NORMAL, AS CONDUCTION THROUGH THE HIS BUNDLE CATCHES UP WITH THE PRE-EXCITATION. NOTE:  SINUS RHYTHM, RIGHT AXIS DEVIATION, SHORT PR-INTERVAL.              SLURRED UPSTROKE OF THE QRS COM
Read more

EASY WAY TO REMEMBER: LEFT AXIS AND RIGHT AXIS DEVIATION

-
Image
 LEFT AXIS DEVIATION SIMPLE CONCEPT:  QRS-COMPLEX : (LEAD-1) AND (LEAD aVL) - [POSITIVE]                                                                   : (LEAD- 2, 3, aVF) - [NEGATIVE] RIGHT AXIS DEVIATION SIMPLE CONCEPT:  QES COMPLEX : (LEAD-1) AND (LEAD aVL) - [NEGATIVE] {S-WAVE GREATER THAN R-WAVE}.                                                                 : (LEAD- 2, 3, aVF) - [POSITIVE] CAUSES OF AXIS DEVIATION:  RIGHT AXIS DEVIATION: 1) NORMAL VARIANT-TALL THIN PEOPLE. 2) RIGHT VENTRICULAR HYPERTROPHY. 3) LATERAL MYOCARDIAL INFARCTION ( PERI-INFARCTION BLOCK). 4) WPW SYNDROME. 5) LEFT POSTERIOR FASCICULAR BLOCK. LEFT AXIS DEVIATION: 1) LEFT ANTERIOR HEMIBLOCK. 2) WPW SYNDROME. 3) INF. MI (PERI-INFARCTION BLOCK) 4) VENTRICULAR TACHYCARDIA.                             
Read more