MANAGEMENTChronic Renal Failure (CRF) Risk factors Causes Stage CRF Treatment. Read more ... » of AcuteSarcoidosis Causes Diagnosis Symptoms and Treatment. Read more ... » Myocardial Infarction (AMIAcute Myocardial Infarction (AMI) Causes PATHOPHYSIOLOGY and Etiology. Read more ... »)
MANAGEMENT Management involves
- Prompt attention and diagnosisSarcoidosis Causes Diagnosis Symptoms and Treatment. Read more ... ».
- Reperfusion therapy
- Management of pain.
MI is a medical emergency; Typical treatmentSarcoidosis Causes Diagnosis Symptoms and Treatment. Read more ... » for the patient includes:
- diagnosis and treatment should not be delayed.
- administering oxygen immediately, and giving aspirin and beta blockersHeart Failure Treatment Heart Failure GENERAL PRINCIPLES. Read more ... », unless there are strong contraindications.
- ordering fibrinolytic drugs (e.g., tissue plasminogen activator) unless contraindicated or emergency angioplasty (where it is available).
- giving angiotensin converting enzyme inhibitors.
- giving statins.
- giving nitratesManagement of Unstable Angina (UA) / NSTEMI Anti-ischemic treatment. Read more ... » and morphine for vasodilation and pain relief. giving antiplateletDeep Vein Thrombosis Embolizations Antiplatelet Anticoagulant Treatment Therapy. Read more ... » agents such as heparins or glycoprotein IIb/IIIa inhibitors.
MANAGEMENT of Acute Myocardial InfarctionAcute Myocardial Infarction (AMI) Causes PATHOPHYSIOLOGY and Etiology. Read more ... » (AMI) -1
Management of Pain
Morphine :
- For pain Morphine is given to :
- Decrease sympathetic drive
- Decrease cardiacExamination of the Cardiovascular System. Read more ... » output
- Decrease arterial pressure
- Decrease cardiac work load
- Decrease vasoconstriction
- Symptomatic relief.
Side effects of Morphine ..
- Severe hypotensionHyperglycemic Hyperosmolar State (HHS) Acute Complication Of DM. Read more ... » – elevate legs and give IV saline
- BradycardiaSINUS Bradycardia Bradyarrhythmia Symptoms Causes Diagnosis with Treatment. Read more ... » – give atropine IV
- HeartExamination of the Cardiovascular System. Read more ... » block – give atropine 0.5 mg IV – repeat if
- necessary
- Diaphoresis and NauseaNausea and Vomiting. Read more ... »
- VomitingNausea and Vomiting. Read more ... » – give antiemetics.
- Dose
- Injection Morphine is given- 2 to 5 mg IV at a time. -
Nitroglycerine:
- Sublingual NTG is given 0.4 mg sublingual at 5 minute intervals. -
Nitrate :
- are given to decrease myocardial oxygen ?emand, a*nd increase myocardial oxygen supply.
- IV NTG is given if BP is more than 100 mmHg . Not to be given in RV infarctionCOMPLICATIONS OF AMI AND TREATMENT -1. Read more ... ».
Beta Blockers:
IV blockers are given to :
- Relieve pain
- Prevent arrhythmiasSupraventricular tachycardia and Ventricular fibrillation Causes Diagnosis with Treatment. Read more ... ».
- Decrease oxygen demand
- Decrease ischemia
- Decrease mortality
- Metoprolol is given 5mg every 5 min 3 times.
- Then 50mg is given ever 6 hours for 48 hours.
- Then 100mg every 12 hours.
Contraindications of Beta Blocker –
- Heart rate <60 per minute
- Systolic blood pressure < 100 mmHg
- PR Interval >0.24 sees.
- Rales > 10 em above the diaphragm
Calcium Channel blockers
- have little role. It raises the threshold for angina.
- read more about management AMI –
Fore more detail acute-myocardial-infarction-management-regime-for-management-of-ami