What drug is used for chest pain not controlled by NTG?
morphine
Metoprolol is selective for
beta 1
Metoprolol IV dose is ______ the PO dose.
1/10
Occasionally, __________ is given in the peri-infarction period especially when left ventricular dysfunction is present (EF <40%)
carvedilol
Use oxygen only if patient is __________
hypoxic
Hyperoxia is defined as
Pa02 > 300mm/Hg
_____________ can be used for immediate relief of angina or prophylaxis prior to anginal causing activities
NTG
Patients must have a nitrate free period of___________ in order to prevent _____________
8 to 12 hours
nitrate tolerance
The ASA dose should be between _______ and ___________
162mg
325mg
ASA produces a rapid clinic antithrombotic effect caused by immediate and near total inhibition of ____________ production
thromboxane A2
Ticagrelor cannot be given with more than ____ ASA per day
81mg
Omeprazole inhibits ________ which reduces the effectivesness of _______________ and ___________.
CYP2C19
clopidogrel
prasugrel
P2Y12 antagonists include
ticagelor
clopidogrel
prasugrel
ticlopidine
Thienopyridines include
ticlopidine
prasugrel
clopdidogrel
Direct Thrombin Inhibitors Include
bivlirudin
enoxiparin
unfractionated heparin
dalteparin
fondaparinux
_____________ prevent new thrombus from being formed, but do not have much effect on thrombus already formed.
Direct thrombin inhibitors
___________, an IV DTI is commonly used in conjuction with “bail-out” _____________ (small single boluses) as it has a lower bleeding profile and carries no potential for heparin-induced _______________
Bivalirudin
IIB/IIIa
thrombocytopenia
IIB/IIIa agents include
eptifibatide
abciximab
tirofiban
Statin PCI therapy should consist of __________ pretreatment and _____________ post PCI.
atorvastatin 80mg
atorvastatin 10mg
Monitoring for effect of thrombolysis or angioplasty
Monitor ST segment elevations
Monitor EKG ST segment resolution- looking for at least a 50% reduction in the size ofthe initial ST segment elevation
Monitor cardiac rhythm for 3 hours
Monitor clinical signs, BP, chest pain, etc.
An ______________ should be prescribed for patients with a diminished ejection fraction (< 40%) post-MI
aldosterone antagonist
___________ or _____________ should be considered in all patients.
ACE-Is
ARBs
avoid ___________ if Scr>2.5mg/dl in men and 2.0mg/dl in women of CrCl < 30ml/min AND on ACE-I/ARB but does NOT have hyperkalemia (K>5meq/L)