Lesson 1High-intensity statin initiation: timing, expected benefits, monitoring for adverse effectsTells when and how to start strong statins in guessed ACS, hoped plaque steady good, starting labs, watch for muscle hurt or liver harm, and advice for long stick.
Time of statin start in ACS pathPicking right statin and doseStarting liver and muscle checksWatch for muscle and liver harmPatient advice and stick helpLesson 2Oxygen therapy: evidence-based thresholds for use, titration to target SpO2, risks of hyperoxiaLooks at air help in guessed ACS, stressing proof-based starts, step to aim air full, avoid too much air, and note needs and patient answer.
When to start air in guessed ACSAim SpO2 ranges and step upsDangers and ways of too much air harmTool pick and flow changesWatch and note air answerLesson 3Nitroglycerin: sublingual administration steps, hemodynamic checks, contraindications (PDE-5 inhibitors), management of hypotensionPlans safe nitro use, with under tongue steps, before and after dose blood flow checks, no-go like PDE-5 blockers, and plans for low blood pressure from nitro.
Under tongue nitro stepsBefore dose blood pressure and pain checksScreen for PDE-5 blocker useSeeing nitro side feelsHandle and note low blood pressureLesson 4Aspirin: dosing, mechanism in ACS, contraindications, assessment before and after administrationGives aimed look at aspirin in ACS, with load and keep doses, stop-plate way, no-go, and planned checks before and after give for safe and good work.
Aspirin load and keep dosingWay of plate stop in ACSNo-go and soft warnsBefore dose check and danger screenAfter dose watch and recheckLesson 5Medication interaction and allergy checks: cross-checking home meds, diabetes and beta-blocker interactions, renal dosing considerationsLooks at steady find allergies, past bad answers, and high danger med mixes, with sugar sickness helps, beta blockers, and kidney clear meds, to stop avoid harm in ACS patients.
Planned allergy and answer historyCross check home and hospital medsSugar drugs and beta blocker hideKidney dosing and kidney harm mixesUse EHR warns and med man helpLesson 6Overview of ACS pharmacotherapy: antiplatelets, anticoagulants, nitrates, beta-blockers, statins, oxygen rationaleLooks at main ACS meds, their ways, needs, and no-go, with stress on first pick, order, and bed safe checks to balance blood lack ease with bleed and blood flow dangers.
Jobs of stop-plate helpers in ACSBlood thin picks and choiceUse of nitrates for blood lack chest painEarly beta blocker help thinksStrong statins in ACS careAir use and now ACS proofLesson 7Anticoagulation with enoxaparin: dosing based on weight/renal function, timing relative to procedures, bleeding risk assessment and monitoringCovers enoxaparin for ACS blood thin, with weight and kidney based dose, time around cut works, bleed danger check, watch plans, and work with heart team.
Weight based dose countsKidney weak dose changesTime with PCI and other worksStarting and going bleed checkWatch anti-Xa and lab partsTurn back and handle big bleedLesson 8Beta-blockers (metoprolol): indications, IV vs PO use, blood pressure and heart rate criteria, dose titration and monitoring for bradycardiaLooks at metoprolol in ACS, with needs, pick IV vs mouth ways, blood pressure and heart beat rules, step dose plans, and watch for slow beat, low pressure, and breath tight.
Needs and no-go in ACSIV vs mouth metoprolol pickBlood pressure and heart beat limitsDose step and recheckWatch for slow beat and low pressureLesson 9Documentation and communication with the provider about medication responses and lab-guided adjustmentsGives best ways for noting med needs, answers, and bad events, and talking with givers to guide lab based dose changes and help step up or down.
Write needs and dose timeChart answers and side feelsTalk key changes quickUse labs to guide dose changesHandoff notes and team notesLesson 10Monitoring for adverse effects: hypotension, bradycardia, bleeding, allergic reactions, and stepwise response algorithmsCovers early see and handle low pressure, slow beat, bleed, and allergy answers after ACS meds, using step plans, step-up starts, and note of answer to actions.
Body sign and feed watchBleed danger signs and bed checksSee drug slow beatFind and treat allergy answersStep answer and step-up pathsAfter event recheck and note
