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what statement(s) are true concerning analgesic use in patients with non-ST elevation ACS?
what statement(s) are true concerning analgesic use in patients with non-ST elevation ACS?
- phosphodiesterase inhibitor can be used along with nitrates for continued ischemic chest pain
- NSAID as ibuprofen can be used for continued ischemic chest pain
- Zofran 8 mg ODT may be used for continued ischemic chest pain
- IV morphine sulfate can be used for continued ischemic chest pain
what statement(s) are true concerning beta blockers use in patients with non-ST elevation ACS?
- it is reasonable to continue beta blocker medication in patients with normal LV function with non-ST elevation ACS
- in patients with risk factor for shock, IV metoprolol 10 mg can be given to reduce mortality
- in patients with reduced systolic function, stable HF and non-ST elevation ACS, it is recommended to continue one of the three beta blockers that have been shown to reduce mortality: metoprolol succinate SR, bisoprolol or carvedilol.
- oral beta blocker ought to be started within the initial 24 hours in the patient does have signs of HF,risk for cardiogenic shock, or other contraindications to beta blockage.
a 67-year-old African-American male presented to the ED with acute chest pain. With following recommendations are true regarding cardiac biomarkers?
- obtain cardiac specific troponin ( troponin 1 or T) on presentation and then 3-6 hours following onset of symptoms
- troponin elevations are helpful for only short term prognosis
- BNP may be helpful also for prognostic information
- collect additional troponin levels after six hours in those patients with initially normal troponins but with ECG changes and/or high risk clinical indicators
- CK-MB and Myobloblin along with contemporary troponin assay are useful in diagnosing acute coronary syndrome