-
Essay / Cases of acute coronary syndrome and myocardial infarction...
Myocardial infarction and acute coronary syndrome require the same medications such as: "aspirin, nitroglycerin, morphine, beta blockers and thrombolytics” (Smeltzer, pp. 744, 2010) Oxygen administration and a 12-lead electrocardiogram are also required upon arrival at the hospital. A PCIS is a procedure to "open the occluded artery and deliver perfusion to the area of the heart that has been deprived of oxygen" and must be performed within an hour of the patient's arrival (Smeltzer, pp 745, 2010). When PCI is contraindicated or unavailable at a certain institution, thrombolytics are administered to “dissolve the thrombus in a coronary artery” to allow reperfusion to the deoxygenated area of the heart (Smeltzer, pp. 745, 2010). After initial medical treatment of acute coronary syndrome and myocardial infarction, “continuous cardiac monitoring” is necessary to ensure that another episode does not occur (Smeltzer, 745, 2010). Monitoring is preferably done in the intensive care unit due to the seriousness of the complications that could arise. Medications such as “aspirin, beta blockers, and an ACE inhibitor” are included in the current treatment (Smeltzer, pp. 745, 2010). Cardiac rehabilitation is initiated after the patient suffers from acute coronary artery disease.