Wednesday, 26 June 2013

Acute Myocardial Infarction


ECG
Anterior
   Small           V3-V4
   Extensive    V2-V5
Anteroseptal   V1-V3
Anterolateral  V4-V6, I, aVL
Lateral            I, aVL, V5-V6
Inferior           II, III, aVF
Posterior         V7-V9 (ST depression V1-V2)
Right               V4R-V6R


Management
Prop up ptx
NPO2 3L/min
T. aspirin 300mg
T. plavix 300mg (75mg if age >65)
SL GTN 1/1
IV morphine 2.5 mg
IV arixtra 2.5mg 

Rpt ECG 1/2H after  completed STK
-reperfused if STe Height <1/2

  


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