Case of Anterior Wall MI
45 year old male presented with complaints of left sided chest pain radiating to left arm follpwed by sweating after a while History Nothing significant Investigations BP, PULSE, SPO2 all are normal Management I had administered him loading dose of Atorvastatin 80mg, Ecosprin 300mg, Sorbitate S/L stat, and referred him to cardiologist for further appropriate treatment Kindly guide what more could have been done in a remote resource limited setting for such kind of MI patients?
At sub center level where other facilities r not available and time taken to shift pt at higher center is less, pt should b shifted with the given medicines. If it more and if LMWH is available,should b given and shift the pt.
Its stemi.thrmbolys could have been done.it can be done in a smaller & remote center. U are a highly qualified medico.u need cardiac monitoring & Some anti arrhythmetic drugs.thrombolysis done as early as possible saves lots of lives
ANTERIOR LATERAL MI LEAD 1 , aVL & V2 -V4 - STEMI NITROGLYCERIN ATORVASTATIN + ASPIRIN MEDICATION HTN MEDICATION ( BETA BLOCKER ) D-DIMER HIGH THEN STREPTOKINASE LMWH SOS OXYGEN MORPHIN SOS MAINTENANCE DOSE ATORVASTATIN 10MG+ ASPIRIN 75MG
Tab nikorandil inj LMWH can be added to present treatment at remote place.
increasing oxygen supply Nitrates Analgesia
Cases that would interest you
- Login to View the image
50yr old femele with crush injury with out any fractures. Treatment???
Dr. Rehna Saidalavi4 Likes17 Answers - Login to View the image
A 12 years child is attacked by a bear on 11 - 6 - 2019 at 1 pm in Dhanbad. The bear attacked on the face of this child, his face is completely injured. Lastly bear is killed by villagers The condition of this child is very critical.
Dr. Maqusud Ansari12 Likes16 Answers - Login to View the image
9y, Female child brought to Emergency department with C/O accidental fall of hot oil over hands &abdomen. Vitals are normal. Suggest further management plz.
Dr. P Kartheek Reddy3 Likes22 Answers - Login to View the image
White patch in left of tongue. . Severe pain since 5 days .. Please dignosis nd treatment?
Dr. Vijaykumar Bagale0 Like19 Answers - Login to View the image
Accidentally Hot water has fallen on the Baby 'hand. Advice treatment.
Dr. K. R. Gupta.4 Likes29 Answers
1 Like