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
- 0Aug 19, '12 by ~*Stargazer*~Quote from AltraUsually 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.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.