Lesson 1High-intensity statin initiation: timing, expected benefits, monitoring for adverse effectsExplains when and how to begin strong statins in suspected ACS, expected plaque-steadying gains, starting labs, watching for muscle or liver harm, and advice to aid long-term sticking.
Timing of statin start in ACS pathChoosing right statin and amountStarting liver and muscle checksWatching for muscle harm and liver poisonPatient advice and sticking helpLesson 2Oxygen therapy: evidence-based thresholds for use, titration to target SpO2, risks of hyperoxiaLooks at oxygen help in suspected ACS, stressing proof-based limits for start, adjusting to target oxygen level, avoiding too much oxygen, and noting reasons and patient reply.
When to start oxygen in suspected ACSTarget SpO2 ranges and adjust stepsRisks and ways of too much oxygen harmDevice choice and flow changesWatching and noting oxygen replyLesson 3Nitroglycerin: sublingual administration steps, hemodynamic checks, contraindications (PDE-5 inhibitors), management of hypotensionOutlines safe nitroglycerin use, including under-tongue giving steps, before and after dose blood flow checks, no-go reasons like PDE-5 blockers, and handling plans for low blood pressure from nitro.
Under-tongue nitroglycerin giving stepsBefore dose blood pressure and pain checksChecking for PDE-5 blocker useKnowing nitroglycerin side effectsHandling and noting low blood pressureLesson 4Aspirin: dosing, mechanism in ACS, contraindications, assessment before and after administrationGives a focused look at aspirin use in ACS, including loading and steady amounts, blood clot stop way, no-go reasons, and planned checks before and after giving for safety and work.
Aspirin loading and steady dosingWay of blood clot stop in ACSNo-go reasons and careful cautionsBefore dose check and risk screeningAfter dose watching and recheckLesson 5Medication interaction and allergy checks: cross-checking home meds, diabetes and beta-blocker interactions, renal dosing considerationsFocuses on orderly finding allergies, past bad replies, and high-risk drug mixes, including diabetes treatments, beta-blockers, and kidney-cleared drugs, to stop avoidable harm in ACS patients.
Planned allergy and reaction historyCross-checking home and hospital medsDiabetes drugs and beta-blocker hidingKidney dosing and kidney-harm mixesUsing computer warnings and pharmacist helpLesson 6Overview of ACS pharmacotherapy: antiplatelets, anticoagulants, nitrates, beta-blockers, statins, oxygen rationaleReviews main ACS medicines, their ways, reasons, and no-go, with stress on first choice, order, and bedside safety checks to balance blood flow relief with bleeding and blood flow risks.
Roles of blood clot stop agents in ACSBlood thinner choices and pickUse of nitrates for blood flow lack chest painEarly beta-blocker help thoughtsStrong statins in ACS careOxygen use and current ACS proofLesson 7Anticoagulation with enoxaparin: dosing based on weight/renal function, timing relative to procedures, bleeding risk assessment and monitoringCovers enoxaparin use for ACS blood thinning, including weight and kidney-based amounts, timing around body work, bleeding risk check, watching plans, and working with heart team.
Weight-based amount calculationsKidney problem dose changesTiming with PCI and other workStarting and ongoing bleeding checkWatching anti-Xa and lab measuresUndo and handle major bleedingLesson 8Beta-blockers (metoprolol): indications, IV vs PO use, blood pressure and heart rate criteria, dose titration and monitoring for bradycardiaReviews metoprolol use in ACS, including reasons, choosing IV versus mouth routes, blood pressure and heart rate limits, amount adjust plans, and watching for slow heart, low pressure, and lung spasm.
Reasons and no-go in ACSIV versus mouth metoprolol pickBlood pressure and heart rate limitsAmount adjust and recheckWatching for slow heart and low pressureLesson 9Documentation and communication with the provider about medication responses and lab-guided adjustmentsDetails best ways for noting medicine reasons, replies, and bad events, and for talking with providers to direct lab-based amount changes and therapy up or down steps.
Noting reasons and time of dosingCharting replies and side effectsTalking critical changes quicklyUsing labs to direct amount changesHandoff reports and team notesLesson 10Monitoring for adverse effects: hypotension, bradycardia, bleeding, allergic reactions, and stepwise response algorithmsCovers early knowing and handling of low pressure, slow heart, bleeding, and allergy replies after ACS medicines, using step plans, escalation starts, and noting reply to actions.
Vital sign and blood flow watchingBleeding risk signs and bedside checksKnowing drug-caused slow heartFinding and treating allergy repliesStep reply and escalation pathsAfter event recheck and noting
