MI

Question 1

What drug would prevent MI if taken prophylactically? Use this same drug 1st when pt presents in ED with MI.

Answer 1

Aspirin

Question 2

What drug do you want to start MI pts on within 24 hrs of presenting?

Answer 2

Statin

Question 3

What do you use for:

• Dopamine
• Dobutamine
• Furosemide

Answer 3

Dopamine = pressor, use for hypotensive pts - not used clinically, you'll use NE
Dobutamine = use for extreme CHF b/c beta agonist (inotrope)
Furosemide = diuretic

Question 4

Anterior infarct on EKG

Answer 4

V1-3

Question 5

Anteriolateral infarct on EKG

Answer 5

V3-6

Question 6

Lateral infarct on EKG

Answer 6

V5
V6
1
avL

Question 7

Inferior infarct on EKG

Answer 7

2, 3, avF

Question 8

What are 3 mechanical complications of MI?

Answer 8

Papillary muscle rupture - posterior medial
Free wall rupture
Ventral septal wall defect

Question 9

If a pt is presenting with mitral regurgitation, what is one drug you might give?

Answer 9

Goal is to decrease afterload

Nitroprusside

Question 10

Which nitro do you give to decrease BP?

Answer 10

Nitroprusside - most significant vasodilation