please do MI, unstable angina, Stable angina CCS - zinta

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pulse oximetry
oxygen
cardiac monitor
bp monitor
aspirin
sl ntg
ekg
iv access
ns
cray
cbc
abg
bmp

brief PE-
general appearance, heart ,lung,extremities,adbomen,rectal ex

advance the clock
iv ntg
IV metoprolol bolus 3 doses 5 min apart
iv morphin
statins
IV heparin (fobt to be done)
cardiac enzymes-2 times 8 hours apart
if ekg shows st elevation go thrombolytic therapy
othrewisenot needed
shift to Icu
take vitals
ekg
echo
Lipid panel
LFT
if planning for cardiac cath give gpIIa/IIIb inhibitors
ACEI if LV systolic dysfunction, diabetic
check UO

interval history

if patient stable advance clock and shift patient to ward.


patient counselling
smoking cessation
alcohol intake to be stopped
medication compliance
low salt diet
low fatty food intake
seat belt
safe sex

If anything to be corrected please feel free