| Treatment |
Patient with severe chest pain & sweating. Middle aged patient with sudden breathlessness or hypotension. When Myocardial infarction is suspected, do not waste time. Shift immediately to a physician or Hospital Immediate Measure: - Allow no exertion like walking or sitting. Make the patient lie down quietly.
- Inj. Morphin 15mg IM. Stat or I.V. if pain is severe and patients restless. Or Inj. Pethidine 100mg IM/IV or Inj. FORTWIN 1 cc IM/IV
Or Inj. NORPHIN 1-2cc IM. (Narcotic Analgesics=3B) - Tab ISORDIL 10mg sublingual stat (Isosorbide=6d-2)
- Tab Disprin ½ stat (Aspirin = 6E-1)
- if BP is low
Inj. BETNESOL 2-4 amps I.V. (steroid =9A)Inj. Mephentin 2cc I.V. - Shift the patient on stretcher to Hospital/physician, confirm Diagnosis by ECG, SGOT.
If Physician is not immediately available - complete Bed Rest
- Inj. NORPHIN 1cc I.V. 8 hrly + S.O.S. if pain
- If pain is sever, Inj. Pthidine/Morphin.(3B)- If Vomiting, Inj. Siquil 2 cc I.V. (1k-1) - Tab ISORDIL 10mg 6 hrly + sublingual S.O.S (6D-2)
- Tab Disprin 300 mg ½ OD (Aspirin = 6E-1 = Antithrombotic) or Tab TICLOVAS 250 mg. bd (Ticlodipin = 6E-3)
- Tab CARDIWELL 75 mg. x 0D (Dypyridamol = 6E-2) or CARDIWELL plus 1 OD (Dypyridamol + aspirin)
- Tab CALMPOSE 5mg 1 tds (Tranquiliser = Diazepam = 4D-3)
As soon as diagnosis is confirmed: Inj. Uroinase 5 lacs slow I.V. (Fibrinolytic = 6E-5) followed by 25 lacs units in IV. Drip (N.S.) or Inj. Streptokinase 7.5 lac units I.V. stat (6E-4) followed by 2.5 to 7.5 lacs units in IV N.saline drip. Inj. Heparin followed by oral Anticoagulants to be given by cardiologist only, if indicated. If Tachycardia: Tab CIPLAR 40mg 1 tds (Propranolol=6A-6 = Betablocker) If Breathlessness or cyanosis : - Oxygen by Nasal catheter or Mask.
- Propped up position.
- Inj. Aminophyllin 10cc + 25% glucoe 10cc slow I.V.
- Inj. LASIX 2-4 cc slow I.V. if LVF with crepts.
- I.V. Nitroglycerin drip – in I.C.C.U. (6D -5) Inj Pruside 50 mg in 5ml, added to 500ml 5% dextrose x 15 to 40 drops/min.
In a Diabetic Patient, Chest pain may be mild or absent. Sudden sweating unexpected hypotension, restlessness, uneasiness in chest should raise a suspicion of Heart attack.
Inj. Morphine Inj. Pethidine Tab Disprin Inj. Pthidine/Morphin. Inj. Siquil Pruside LASIX CIPLAR CARDIWELL ISORDIL MEPHENTINE TICLOVAS URONASE CALMPOSE NORPHIN FORTWIN BETNESOL AMINOPHYLLINE |
