Quick Recall
A 73 yo woman with a history of diabetes & angina of effort presents to the emergency department with the chief complaint of a prolonged chest pain of 40 mins duration that developed while she was watching TV. She is given oxygen by nasal cannula, a chewable asprin & a sublingual nitroglycerin tablet while her ABCs are assessed. She is placed on a heart monitor, blood pressure cuff and pulse oximeter, and given 4 mg of morphine by i.v. push. Her ECG indicates an elevated heart rate with normal (non-elevated) ST segments and the absence of enhanced Q waves in each lead; a blood sample is taken. Both metoprolol & enoxaparin are administered. After 30 minutes her lab report indicates that her cardiac enzymes (troponin I & CK-MB) are within the normal range. The next best course of action would be to give:
- A. lovastatin
- B. clopidogrel
- C. warfarin
- D. alteplase
B. Clopidogrel an anti platelets to reduce the heart disease.
Clopidogrel, manage as a case of CAD NSTEMI
B.Clopidogrel
Obviously it is B
SUGGESTIVE. OF ..B CLOPIDOGREL
B.Clopidogrel
B
B. Clopidogrel.
B
B-clopidogrel
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