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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:

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B. Clopidogrel an anti platelets to reduce the heart disease.

Thanks Dr Rupesh Kumar
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Clopidogrel, manage as a case of CAD NSTEMI

B.Clopidogrel

Obviously it is B

SUGGESTIVE. OF ..B CLOPIDOGREL

B.Clopidogrel

B. Clopidogrel.

B-clopidogrel

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