Lesson 1High-intensity statin initiation: timing, expected benefits, monitoring for adverse effectsCovers starting strong statins in likely heart attacks, when and how, plaque steady benefits, start labs, watch for muscle or liver harm, and tips for sticking long-term.
Timing of statin start in ACS pathwayChoosing appropriate statin and doseBaseline liver and muscle assessmentsMonitoring for myopathy and hepatotoxicityPatient counseling and adherence supportLesson 2Oxygen therapy: evidence-based thresholds for use, titration to target SpO2, risks of hyperoxiaLooks at oxygen in likely heart attacks, proven start levels, adjust to right saturation, avoid too much oxygen, and record reasons and replies.
When to start oxygen in suspected ACSTarget SpO2 ranges and titration stepsRisks and mechanisms of hyperoxia harmDevice selection and flow adjustmentsMonitoring and documenting oxygen responseLesson 3Nitroglycerin: sublingual administration steps, hemodynamic checks, contraindications (PDE-5 inhibitors), management of hypotensionGuides safe nitro use, under-tongue steps, before-after blood flow checks, no-gos like ED pills, and handling low pressure from nitro.
Sublingual nitroglycerin administration stepsPre-dose blood pressure and pain checksScreening for PDE-5 inhibitor useRecognizing nitroglycerin side effectsManaging and documenting hypotensionLesson 4Aspirin: dosing, mechanism in ACS, contraindications, assessment before and after administrationReviews aspirin in heart attacks, start and steady doses, clot-stop action, no-gos, and checks before-after for safety and effect.
Aspirin loading and maintenance dosingMechanism of platelet inhibition in ACSContraindications and relative cautionsPre-dose assessment and risk screeningPost-dose monitoring and reassessmentLesson 5Medication interaction and allergy checks: cross-checking home meds, diabetes and beta-blocker interactions, renal dosing considerationsTargets finding allergies, past bad reactions, high-risk mixes, like sugar meds, heart slowers, kidney-cleared drugs, to avoid harm in heart attack cases.
Structured allergy and reaction historyCross-checking home and inpatient medsDiabetes drugs and beta-blocker maskingRenal dosing and nephrotoxic combinationsUsing EHR alerts and pharmacist supportLesson 6Overview of ACS pharmacotherapy: antiplatelets, anticoagulants, nitrates, beta-blockers, statins, oxygen rationaleSums up main heart attack drugs, actions, yeses, noes, with focus on first picks, order, bedside safety to balance blood flow aid vs bleed and pressure risks.
Roles of antiplatelet agents in ACSAnticoagulant options and selectionUse of nitrates for ischemic chest painEarly beta-blocker therapy considerationsHigh-intensity statins in ACS careOxygen use and current ACS evidenceLesson 7Anticoagulation with enoxaparin: dosing based on weight/renal function, timing relative to procedures, bleeding risk assessment and monitoringHandles enoxaparin for heart attack clot stop, weight-kidney doses, timing near ops, bleed risks, watch plans, and heart team links.
Weight-based dosing calculationsRenal impairment dose adjustmentsTiming with PCI and other proceduresBaseline and ongoing bleeding assessmentMonitoring anti-Xa and lab parametersReversal and management of major bleedingLesson 8Beta-blockers (metoprolol): indications, IV vs PO use, blood pressure and heart rate criteria, dose titration and monitoring for bradycardiaReviews metoprolol in heart attacks, yeses, needle vs mouth, pressure-rate limits, adjust plans, watch for slow heart, low pressure, breath issues.
Indications and contraindications in ACSIV versus oral metoprolol selectionBlood pressure and heart rate thresholdsDose titration and reassessmentMonitoring for bradycardia and hypotensionLesson 9Documentation and communication with the provider about medication responses and lab-guided adjustmentsBest ways to record drug reasons, replies, bad effects, and talk to docs for lab-based dose changes and step up or down.
Recording indications and time of dosingCharting responses and side effectsCommunicating critical changes promptlyUsing labs to guide dose adjustmentsHandoff reports and interdisciplinary notesLesson 10Monitoring for adverse effects: hypotension, bradycardia, bleeding, allergic reactions, and stepwise response algorithmsEarly spot and handle low pressure, slow heart, bleeds, allergies post heart drugs, with step plans, alert triggers, record replies.
Vital sign and perfusion surveillanceBleeding risk signs and bedside checksRecognition of drug-induced bradycardiaIdentifying and treating allergic reactionsStepwise response and escalation pathwaysPost-event reassessment and documentation
