What medications do you give for a STEMI?
Medications for STEMI and NSTEMI
| Acute | Prophylaxis or prevention |
|---|---|
| Aspirin 300mg (chewed or soluble) | Aspirin 100-150mg daily |
| Clopidogrel 300-600mg Ticagrelor 180mg or Prasugrel 60mg immediately (All taken orally) | Clopidogrel 75mg daily or Ticagrelor 90mg bd or Prasugrel 10mg daily (5mg if age >75y) |
What is the first line drug for STEMI?
All patients with STEMI should receive an empiric loading dose of aspirin (150.5 to 325 mg) as early as possible and prior to reperfusion, regardless of the reperfusion method. A lifelong maintenance dose of (75 to 81 mg) daily should be prescribed to all patients after STEMI.
What is the treatment for a STEMI?
The priority in treating a STEMI heart attack is to open the artery quickly, saving as much heart muscle as possible. Treatment options include percutaneous coronary intervention (PCI), a term that encompasses both angioplasty and stenting; clot-busting medication; and coronary artery bypass graft surgery (CABG).
When do you give heparin ACS?
When intravenous heparin is administered for myocardial infarction with non-ST elevation and unstable angina, an initial bolus of 60 to 70 U/kg (maximum, 5000 U) followed by a 12- to 15-U/kg/h infusion is recommended. The goal is to achieve an activated partial thromboplastin time of 50 to 70 seconds.
What is the gold standard treatment for STEMI?
Direct percutaneous recanalization of the infarct-related artery represents the gold standard in treating STEMI, specifically when performed within two hours after first medical contact.
Do you give heparin for STEMI?
Heparin (i.e. “unfractionated”) bolus dose of 5000 units should be given in cases of patients who are to receive PCI for their STEMI.
Which medication is the treatment of choice for ST-segment elevation myocardial infarction STEMI pain?
Early recognition and prompt initiation of reperfusion therapy remains the cornerstone of management of ST-segment elevation myocardial infarction. Aspirin should be given to symptomatic patients.
What is the goal for PCI when treating a STEMI?
The goal of PCI in these patients is to keep neurological function intact to increase survival.
Is Plavix a platelet inhibitor?
Plavix (clopidogrel bisulfate) is an inhibitor of ADP-induced platelet aggregation acting by direct inhibition of adenosine diphosphate (ADP) binding to its receptor and of the subsequent ADP- mediated activation of the glycoprotein GPIIb/IIIa complex.
