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12124021
SINDROME CORONARIO AGUDO
Description
Mind Map on SINDROME CORONARIO AGUDO, created by denis inlago on 06/02/2018.
Mind Map by
denis inlago
, updated more than 1 year ago
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Created by
denis inlago
over 6 years ago
573
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Resource summary
SINDROME CORONARIO AGUDO
grupo de síntomas atribuidos a la obstrucción de las arterias coronarias SINTOMA MAS COMUN DOLOR EN EL PECHO
SIGNOS Y SINTOMAS
dolor
diaforesis
nausea
disnea
vómito
clasificación
Infarto agudo de miocardio con elevacion del ST
monitorizar y proporcionar soporte vital basico
administrar oxigeno y farmacos: aspirina, mitroglicerina, morfina
inicie terapias complementarias para reperfusión
fibrinolisis (30 min)
intervención coronaria percutanea (90 min)
Infarto agudo de miocardio sin elevacion del ST
riesgo alto
Considere estrategia invasiva inicial si: TV, inestabilidad hemodinamica, signos de IC,
Inicie terapias complementaris: nitroglicerina, heparina, considere: betabloqueador, clopidogel
Ingrese al paciente a una cama monitorizada
Tearapia invasiva cateterismo cardíaco
riesgo bajo
Reevalue el ECG
continue con la aspirina, clopidogrel o heparina
Factores de riesgo
tabaquismo obesidad sedentarismo
HTA diabetes mellitus hipercolesterolemia
manejo inicial
Realize interrogatorio
Realizar ECG 12 derivaciones
Estudios de laboratorio (troponinas, biometria hemática, creatinina
Administre O2 y medicamentos
ASA 150-300mg
nitroglicerina 4-8 mg
Betabloqueador si no hay contraindicacion, IECAS
pruebas diagnosticas
ECG 12 derivaciones
pruebas de laboratorio ( CPK, biometria hemática, troponina)
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