TREATMENT OF Myocardial Infarction MI |Prescription writing |Instructions| Mr Doctor

 

Myocardial Infarction 

Myocardial Infarction (MI):

Definition:

Damage to heart muscle due to reduced blood flow, resulting in:
1. Necrosis of heart tissue
2. Impaired cardiac function

Types:

1. ST-Elevation Myocardial Infarction (STEMI)
2. Non-ST-Elevation Myocardial Infarction (NSTEMI)
3. Unstable Angina (UA)

Causes:

1. Atherosclerosis
2. Thrombosis
3. Embolism
4. Vasospasm
5. Trauma

Risk Factors:

1. Hypertension
2. Hyperlipidemia
3. Diabetes
4. Smoking
5. Family history
6. Obesity

Symptoms:

1. Chest pain (radiating to arm, neck,jaw)
2. Shortness of breath
3. Fatigue
4. Lightheadedness
5. Nausea and vomiting

Treatment Of Myocardial Infarction:
PRESCRIPTION WRITING for Myocardial Infarction :    

Name : _____  Age:_____ Gender:____
Address:____ Date:_____
 

C/C: 

         •Chest pain > 30 mints radiating to left jaw,neck & arm

         •Sweating

         •Nausea , Vomiting

O/E:  

         •Pulse:____ 

         •B.P:______

         •R.R:______
 
 Ix : 

       •ECG (ST-segment  
        elevation/depression                   
       •Troponin levels (elevated)
       •Creatine kinase (CK-MB)
       •Myoglobin
       •Imaging studies (echocardiogram,  cardiac MRI)
 
Dx :

       • Myocardial Infarction MI 

     

            Rx:

                  •Oxygen inhalation through nasal mask

 
                  •Pain management morphine IV ×STAT  

                  •Percutaneous intervention if  the patient presented within 90 mints 

                  •Thrombolytic therapy with in 12 hours (Streptokinase , Alteplase)

                   •Tab: Aspirin 81-375 mg P/O× STAT 

               

                   •Tab :Clopidogril 75 mg P/O × STAT

                  •Tab :Atenolol /Bisoprolol 12.5mg ×PO ×OD

               •Tab :Captoril 25 mg P/O×BD

                   •Tab :Atorvastatin 40/80     mg P/O OD

                      

     Instructions:

                     • Lifestyle modification(diet, exercise)
                     • Try to avoid stress,anxiety 
                     • Risk factor management
                    • Regular check-ups
                     • Aspirin therapy(if indicated)

                   

   

Follow up:________. 

                             

                 

                                                        Signature:_____.

                DRUGS / MEDICATION 
 

      

Atenolol 

Atorvastatin 

Captopril 

Clopidogril 

Aspirin 

Alteplase 

Streptokinase 

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