AMI Meds Flashcards
ASA
P-Dyn
Inhibits platelet aggregation (blocks formation of Thromboxane A2) Reduces inflammation (inhibits prostaglandins)
Aspirin/Acetylsalicylic acid
Class
Anti-platelet
Anti-inflammatory
Antipyretic
Analgesic
ASA
Indications
CP/ECG changes suggestive of AMI
ACS
ASA
Contraindications
Allergy to salicylates Hemorrhagic CVA Kids with fever/flu Asthma Bleeding disorders GI bleeds
ASA
Dose
160-325 mg
No peds
Nitroglycerin
Class
Vasodilator
Antianginal
Organic nitrate
Nitroglycerin
P-Dyn
Relaxes peripheral vascular smooth muscle (mainly venous)
Coronary artery dilation
Nitroglycerin
Indications
CP with AMI/Angina
LVF without hypotension
Acute non-traumatic pulmonary edema
Hypertensive crisis/emergency
Nitroglycerin
Contraindications
Allergy, hypotension (<90 SBP)
Hypovolemia, extreme brady/tach
Head injury
ED meds
Nitroglycerin
Dose
0.4 mg q 3-5 min x3 doses
No peds
Morphine Sulfate
Class
Narcotic analgesic
Opiate
Morphine
P-Dyn
Analgesia (pain perception, catecholamine production)
Vasodilation (increased pvcapacity, decreases preload/afterload)
Decreased myocardial O2 demand
Morphine
Indications
CP suggestive of AMI, unresponsive to nitrates
Acute/non-traumatic pulmonary edema
Mod/severe musculoskeletal pain
Morphine
Contraindications
Allergy, hypovolemia, hypotension
Head injury, CNS depression
Increased ICP
Undiagnosed abd pain
Morphine
Dose
Cardiac 2-4 mg 2-8 mg q 5-15 min
Analgesia 2-15 mg
