What is your ER's PCI med protocol? - page 2

by NeoPediRN 2,228 Views | 11 Comments

Regardless of whether or not you have a cath lab onsite, can you please share your ER's med list for a PCI?... Read More


  1. 0
    The standard of care for PCI is 90 mins. Though if there is no in house cath lab, then the standard is thrombolytics within 60 mins of arrival. I even know of some EMS systems that carry Retavase as they have transport times that cant exceed an hour and time is muscle.
  2. 0
    Quote from Altra
    We have a cath lab. About half of the STEMIs discovered in the field bypass the ER entirely -- if the cath lab can be ready then there's no need to stop in the ER.

    For ER patients the meds given are ASA, Plavix/Effient, and a heparin bolus. Maybe morphine if the pain is intense. Maybe NTG for pain if accompanied by elevated BP.
    Usually they've has ASA, NTG, and fentanyl in the field, but in the ED they'll get: metoprolol, Plavix or Effient, started on an Angiomax gtt. If still painful after meds in the field, they'll get morphine, Dilaudid, or fentanyl, whatever the doc orders.


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