Embeded Suggestion

Rejected at 3:37 a.m. Nov, 01, 2023 ] by Ahmed7

Author: docnuggets

Rejected at 3:37 a.m. on Nov. 1, 2023 by Ahmed7

Related Note: 1497805321521

Type of change: Other

Rationale for change

More specific prompt. I frequently found myself considering EKG or some other non-pharmacological intervention.

Rejection reason

comments

Current Suggested

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Extra

STEMI Initial Management
ACE inhibitor	- Reduces fatal and nonfatal cardiac events, prevents cardiac remodeling; especially for patients with anterior MI and EF < 40%
Angiotensin receptor blocker (ARB)	- Given if the patient cannot tolerate ACE inhibitor (e.g., due to cough)
Aspirin	- Inhibits platelet aggregation; given before PCI or fibrinolysis
Atorvastatin	- Reduces ischemic complications, resolves ST segment elevation in patients undergoing PCI, lowers LDL levels - Recommended for all STEMI patients without contraindication to statin therapy
B-blocker	- Alleviates chest pain by reducing heart rate and contractility (reduces oxygen demand) - May prevent reinfarction and ventricular fibrillation - Not given in cardiogenic shock
Clopidogrel	- Inhibits platelet aggregation; - Given before PCI or fibrinolysis
Heparin	- Prevents clot formation; given before PCI or fibrinolysis
Morphine	- Alleviates chest pain by stimulating opioid receptors - Given if chest pain persists despite nitroglycerin - May cause hypotension or heart block
Nitroglycerin	- Alleviates chest pain by causing vasodilation, reducing preload and afterload (reduces oxygen demand), and improving myocardial perfusion (increases oxygen supply) - May cause hypotension
Platelet glycoprotein IIb/IIIa antagonist	- Inhibits platelet aggregation; given before PCI
Supplemental oxygen	- Only for patients with low oxygen saturation

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First Aid

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#AK_Step2_v12::#Subjects::Cardiology::02_Coronary_Artery_Disease::Angina::Stress_Test #AK_Step2_v12::#Resources_by_rotation::IM::uw::cardio::cardio_zanki #AK_Step2_v12::!Shelf::IM::no_dupes::only_step2 #AK_Step2_v12::Original_decks::Dorian::im::uw::cardio #PANCE::EOR::IM #AK_Step2_v12::!Shelf::#Cards_AnKing_Skipped #AK_Step2_v12::#SketchyIM::01_Cardiology::01_Ischemic_Heart_Disease::09_Post_ACS_Management #AK_Step2_v12::#B&B::02_Cardio::02_Ischemic_Heart_Disease::01_Coronary_Artery_Disease #AK_Other::AnKing_Image::Mujeeb::ACS_management #AK_Step1_v12::#Bootcamp::Musculoskeletal::15_Pharmacology::04_Aspirin_And_Celecoxib #PANCE::EOR::Family_med #AK_Step1_v12::#Bootcamp::Hematology_and_Oncology::06_Platelets::05_Antiplatelet_Medications #AK_Step2_v12::#SketchyIM::01_Cardiology::12_Retired_Lessons::01_Ischemic_Heart_Disease::03_Acute_Coronary_Syndromes_SOA_[OLD_VERSION] #AK_Step2_v12::#DirtyMedicine::07_Cardiology::04_Chest_Pain_Rapid_Review #AK_Step2_v12::#Bootcamp::Medicine::01_Cardiology::01_Coronary_Artery_Disease::05_Assessment_and_Management_of_ACS #AK_Step2_v12::#OME::01_Medicine::01_Cardiology::02_Acute_Coronary_Syndrome #AK_Step2_v12::#OME::Clinical::01_Medicine::01_Cardiology::01_Coronary_Artery_Disease #AK_Step2_v12::#OME::01_Medicine::01_Cardiology::01_Coronary_Artery_Disease #AK_Step2_v12::#FirstAid::01_Cardiovascular::08_Acute_Coronary_Syndromes::02_Unstable_Angina/Non-ST-Segment_Elevation_Myocardial_Infarction #AK_Step1_v12::#NinjaNerd::06_Cardiovascular::04_Pharmacology::01_Antiplatelet_Medications_(MOA,_Indications,_AR,_CI) #AK_Step2_v12::#B&B::02_Cardio::02_Ischemic_Heart_Disease::02_STEMI #AK_Other::#AK_Original_Decks::Step_2::Cheesy_Dorian_(M3) #AK_Step2_v12::#UWorld::COMLEX::101122 #AK_Step2_v12::#Subjects::Cardiology::02_Coronary_Artery_Disease::Angina::Types::Stable_Angina #AK_Other::AnKing_Image::!Subjects::Cardiology::ACS_management #AK_Step2_v12::#Resources_by_rotation::IM::ome::cardio::cad #PANCE::EOR::EM #AK_Step2_v12::#SketchyIM::01_Cardiology::01_Ischemic_Heart_Disease::05_Unstable_Angina/NSTEMI #AK_Step2_v12::#Subjects::Cardiology::02_Coronary_Artery_Disease::Angina::Treatment #AK_Other::Only_Step_2 #AK_Step2_v12::#UWorld::Step::4334 #PANCE::CARDIO::coronary_artery_disease #AK_Step2_v12::Original_decks::Zanki_Step_2::IM::Cardio #AK_Step2_v12::#Resources_by_rotation::IM::uw::cardio::cardio_dorian #AK_Step2_v12::#SketchyFM::01_Acute_Presentations::02_Cardiac_Symptoms::01_Approach_To_Chest_Pain #AK_Other::Table::STEMI_Initial_Management