Which is the priority management of a patient with MI?

Which is the priority management of a patient with MI?

Although the immediate priority in managing acute myocardial infarction is thrombolysis and reperfusion of the myocardium, a variety of other drug therapies such as heparin, β-adrenoceptor blockers, magnesium and insulin might also be considered in the early hours.

What is therapy for myocardial infarction?

Treatment is antiplatelet drugs, anticoagulants, nitrates, beta-blockers, statins, and reperfusion therapy. For ST-segment-elevation myocardial infarction, emergency reperfusion is via fibrinolytic drugs, percutaneous intervention, or, occasionally, coronary artery bypass graft surgery.

What is the surgical management of myocardial infarction?

Introduction: Coronary artery bypass grafting (CABG) has been replaced by percutaneous coronary interventions in the treatment of myocardial infarction (MI) nowadays. The surgical repair is the only option for mechanical complications of MI.

How can you treat a patient with previous myocardial infarction?

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 are common complications after an MI?

Complications associated with myocardial infarction

• Disturbance of rate, rhythm and conduction.
• Cardiac rupture.
• Heart failure.
• Pericarditis.
• Ventricular septal defect.
• Ventricular aneurysm.
• Ruptured papillary muscles.
• Dressler’s syndrome.

What are the treatment goals of an MI?

After the initial management and stabilization of the patient in the early and critical phase of acute myocardial infarction (MI), the goals of care for these patients is to restore normal activities, prevent long-term complications, as well as aggressively modify lifestyle and risk factors.

What foods should I avoid with myocardial infarction?

Consume a diet high in vegetables, fruits, whole grains, low-fat dairy products, poultry, fish, legumes, non-tropical oils, and nuts, and reduce intake of sweets, sugar-added beverages and red meats. Limit saturated fat to 5-6% of calories. Reduce trans-fats. Consume no more than 2,400 mg/day of sodium.

Which of the following is the most common symptom of myocardial infarction MI )?

The pain most suggestive of an acute MI, with the highest likelihood ratio, is pain radiating to the right arm and shoulder. Similarly, chest pain similar to a previous heart attack is also suggestive. The pain associated with MI is usually diffuse, does not change with position, and lasts for more than 20 minutes.

Why is aspirin given for MI?

Aspirin is effective in reducing the blood clots that are blocking a coronary artery during an acute heart attack. Anyone who has already had a heart attack, or who has an increased risk of having one in the future, should always carry a few non-coated adult aspirins with them.

What is a complicated MI?

Acute MI, caused most often by coronary arterial thrombosis that impairs myocardial blood flow and tissue perfusion and less commonly by excessive myocardial oxygen demand, is defined pathologically as an irreversible change or death of an individual cell (myocyte) or, in a majority of cases, group of cells.

What does a pharmacist do for post mi recovery?

The pharmacist’s role in post-MI recovery and recurrence prevention includes medication education and helping patients maintain adherence to pharmacologic and nonpharmacologic treatment.

What happens to a patient with a mi?

Recovery from an MI can take a physical and emotional toll on the affected patient and loved ones. Recurring MIs may put patients at risk for reduced quality of life, heart failure, and death.

How can Pharmacists help prevent a second mi?

Nonadherence to post-MI treatment regimens is common and increases the risk of hospital readmission and mortality. Pharmacists are in a key position to educate and encourage patients to take an active role in managing their health and preventing a second MI. 1.

How often does a relapse of a mi occur?

The estimated annual incidences of new and recurrent MI events are 550,000 and 200,000, respectively. Recovery from an MI can take a physical and emotional toll on the affected patient and loved ones. Recurring MIs may put patients at risk for reduced quality of life, heart failure, and death.