Lesson 1High-intensity statin initiation: timing, expected benefits, monitoring for adverse effectsShows when and how to start strong statins in possible heart attack, hoped plaque-steady gains, starting labs, watch for muscle or liver harm, and advice for long stick in local care.
Time to start statin in heart attack pathPicking right statin and doseStarting liver and muscle checksWatch for muscle harm and liver poisonPatient advice and stick helpLesson 2Oxygen therapy: evidence-based thresholds for use, titration to target SpO2, risks of hyperoxiaLooks at oxygen help in possible heart attack, stressing proof-based start limits, adjust to goal oxygen level, avoid too much oxygen, and note needs and patient reply in Namibian practice.
When to start oxygen in possible heart attackGoal SpO2 ranges and adjust stepsDangers and ways of too much oxygen harmDevice pick and flow changesWatch and note oxygen replyLesson 3Nitroglycerin: sublingual administration steps, hemodynamic checks, contraindications (PDE-5 inhibitors), management of hypotensionOutlines safe nitro use, including under-tongue steps, before and after dose blood flow checks, no-go like PDE-5 blockers, and ways to handle low blood pressure from nitro in local settings.
Under-tongue nitro stepsBefore dose blood pressure and pain checksScreen for PDE-5 blocker useSeeing nitro side effectsHandling and noting low pressureLesson 4Aspirin: dosing, mechanism in ACS, contraindications, assessment before and after administrationGives focused look at aspirin in heart attack, including load and keep doses, block-plate way, no-go, and set checks before and after give for safety and work in Namibian care.
Aspirin load and keep dosingWay of plate block in heart attackNo-go and careful cautionsBefore 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 considerationsCenters on steady find allergies, past bad replies, and high-danger med mixes, including sugar meds, beta-blockers, and kidney-cleared drugs, to stop avoidable harm in heart attack patients locally.
Set allergy and reply historyCross-check home and hospital medsSugar drugs and beta-blocker hideKidney dosing and kidney-poison mixesUse EHR alerts and med expert helpLesson 6Overview of ACS pharmacotherapy: antiplatelets, anticoagulants, nitrates, beta-blockers, statins, oxygen rationaleLooks at main heart attack meds, their ways, needs, and no-go, with stress on first pick, order, and bed safety checks to balance lack-blood relief with bleed and blood flow dangers.
Roles of plate-block agents in heart attackBlood thinner picks and choiceUse of nitrates for lack-blood chest painEarly beta-blocker help thoughtsStrong statins in heart attack careOxygen use and current heart attack proofLesson 7Anticoagulation with enoxaparin: dosing based on weight/renal function, timing relative to procedures, bleeding risk assessment and monitoringCovers enoxaparin for heart attack blood thinning, including weight and kidney-based dosing, time around invasive fixes, bleed danger check, watch ways, and team work with heart experts.
Weight-based dose countsKidney weak dose changesTime with PCI and other fixesStarting and ongoing bleed checkWatch anti-Xa and lab partsUndo 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 heart attack, including needs, pick IV vs mouth routes, blood pressure and heart beat limits, adjust ways, and watch for slow beat, low pressure, and breath tight.
Needs and no-go in heart attackIV vs mouth metoprolol pickBlood pressure and heart beat limitsDose adjust 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, replies, and bad events, and talking with providers to guide lab-based dose changes and therapy step-up or step-down in Namibian records.
Record needs and dose timeChart replies and side effectsShare key changes quickUse labs to guide dose changesHandover reports and team notesLesson 10Monitoring for adverse effects: hypotension, bradycardia, bleeding, allergic reactions, and stepwise response algorithmsCovers early spot and handle of low pressure, slow beat, bleed, and allergy replies after heart attack meds, using step ways, step-up signs, and note of reply to fixes.
Body sign and flow watchBleed danger signs and bed checksSpot drug-slow beatFind and treat allergy repliesStep reply and step-up pathsAfter event recheck and note
