[N-clex] MI(Myocardial infarction)

Sx)

- chest pain(crushing, subternal pain)

- radiated to back, jaw, Lt.arm

- early morning, N/V, diaphoresis(발한)

- fever, anxiety

- pallor, cyanosis

- coolness of extrimity

- BP↓

 

Tx)

Acute)

- O2 제공

- NTG, morphine(pain↓, 심부담↓)

- SFP

- IV

- ECG

- antidysrhythmia (ex, β-blocker(~lol) 등)

- thrombolytics in 6hr

Acute 후

- ACE inhibitors(~pril)

- CCB (~dipine)

- aspirin, clopidogrel(항응고제)

- lipid↓(~statin)

 

Cx)

- dysrhythmia : most common but serious

- HF

- pulmonary edema

- cardiogenic shock

- thrombophlebitis

- pericarditis