DrVirgo
Forum Hero
Topics: 1096
Posts: 3,515
|
A 55 y/o woman presents wo the ER because of chest pain. The pain which has lasted 3 hours, is substernal and dull in nature, with no relation to respiration or position. The pain does not radiate and is accompanied by weakness, lightheadedness, and nausea. She has received oxygen, aspirin, a continuous infusion of nitroglycerin, and a beta blocker. Her chest x-ray film is normal, and her ECG is remarkable for invert4ed T-waves in leads II, III, and AVF. Which of the following is the most important next step in management?
A. Nifedipine
B. IV Heparin
C. IV thrombolytic therapy
D. Cardiac catheterization
E. Percutaneous coronary angioplasty
and why?
___________________
Our greatest glory is not in never falling, but in rising every time we fall.
|
| prathapdoctor
Forum Elite
Topics: 12
Posts: 406
|
Unstable angina, IV heparin?
|
| yasmeen
Forum Guru
Topics: 68
Posts: 940
|
iv heparin in unstable and non st seg elevation mi
|
| yasmeen
Forum Guru
Topics: 68
Posts: 940
|
B
|
| doyoudig
Forum Guru
Topics: 144
Posts: 613
|
B. IV Heparin
|
| DrVirgo
Forum Hero
Topics: 1096
Posts: 3,515
|
B is right
Unstable Angina + EKG changes = IV heparin
___________________
Our greatest glory is not in never falling, but in rising every time we fall.
|
|
| |
| | | | | | |
