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17 Cards in this Set
- Front
- Back
- 3rd side (hint)
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What are some beta-blockers that are used to treat MI?
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Betaxolol
Bisoprolol Esmolol Acebutolol Atenolol Metoprolol |
BBEAAM
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What is the dosing for Betaxolol in MI?
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5-20 mg q 24 hrs
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What is the dosing for Bisoprolol in MI?
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5-20 mg q 24 hrs
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What is the dosing for Esmolol in MI?
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50-300 mCg/kg/min IV
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What is the dosing for Acebutolol in MI?
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200-600 mg q 12 hrs
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What is the dosing for Atenolol in MI?
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25-200 mg q 24 hrs
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What is the dosing for Metoprolol in MI?
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25-200 mg q 12 hrs
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IV Unfractionated heparin (UFH) is recommended in what type of MI patients?
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- pts w/ MI who undergo percutaneous revascularization / fibrinolytic therapy with alteplase
- pts w/ MI who receive non-fibrinolytic agent & are at an increased risk for systemic emboli |
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Unfractionated Heparin is active against?
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free thrombin
factor Xa |
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LMWH is administered to what type of MI patients?
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MI pts NOT treated w/ fibrinolytic therapy & have no contra-indication to heparin
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LMWH acts on?
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factors Xa
factors IIa |
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Fibrinolytics are used when?
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pts with compatible (capable of existing together) MI & ST segment elevation > 0.1 mV in 2 contiguous EKG leads OR new onset of a bundle branch block (occurring <12hrs but NOT more than 24hrs after onset of symptoms)
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What is used as an alternative therapy to fibrinolysis?
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Percutaneous coronary intervention (PCI)
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PCI provides a definite survival advantage over fibrinolysis for MI patients who are in ___________?
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Cardiogenic shock
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When are surgical revascularization used?
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1. when percutaneous intervention has failed in pts w/ hemodynamic instability & coronary anatomy amendable to surgical grafting
2. when pts have mechanical complications of MI (ie: ventricular septal defect, free wall rupture, or acute mitral regurgitation) |
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When are ACE-I used in AMI?
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w/in first 24hrs of symptom onset
they are also recommended 4-6 wks after presentation of MI in pts with CHF, left ventricular dysfunction (ejection fraction < 0.4), HTN, or diabetes |
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What are long term medications for patients that have had a myocardio infarction?
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Continue indefinitely. . .
ASA beta-blockers statins dietary modifications ACE-I (if pts has CHF, left ventricular dysfunction, HTN, diabetes) |
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