Lesson 1High-strength statin start: timing, expected gains, watching for bad effectsExplains when and how to begin high-strength statins in suspected ACS, expected plaque-steadying gains, starting labs, watching for muscle or liver harm, and advice for long-term sticking in Zimbabwean patients.
Timing of statin start in ACS pathChoosing right statin and amountStarting liver and muscle checksWatching for muscle harm and liver poisonPatient advice and sticking supportLesson 2Oxygen treatment: proof-based limits for use, adjusting to target SpO2, risks of too much oxygenLooks at oxygen treatment in suspected ACS, stressing proof-based limits for starting, adjusting to target oxygen level, avoiding too much oxygen, and noting reasons and patient response in wards.
When to start oxygen in suspected ACSTarget SpO2 ranges and adjusting stepsRisks and ways of too much oxygen harmDevice choice and flow changesWatching and noting oxygen responseLesson 3Nitroglycerin: under-tongue giving steps, blood flow checks, no-go reasons (PDE-5 blockers), handling low blood pressureOutlines safe nitroglycerin use, including under-tongue giving steps, before and after dose blood flow checks, no-go like PDE-5 blockers, and handling plans for nitro-caused low blood pressure.
Under-tongue nitroglycerin giving stepsBefore-dose blood pressure and pain checksChecking for PDE-5 blocker useSpotting nitroglycerin side effectsHandling and noting low blood pressureLesson 4Aspirin: amounts, way in ACS, no-go reasons, check before and after givingGives focused review of aspirin use in ACS, including loading and steady amounts, anti-blood clot way, no-go reasons, and planned checks before and after giving for safety and work.
Aspirin loading and steady amountsWay of blood clot stopping in ACSNo-go reasons and careful cautionsBefore-dose check and risk screeningAfter-dose watching and recheckLesson 5Medicine mix and allergy checks: cross-checking home meds, diabetes and beta-blocker mixes, kidney amount thoughtsFocuses on orderly finding allergies, past bad reactions, and high-risk drug mixes, including diabetes treatments, beta-blockers, and kidney-cleared drugs, to stop avoidable harm in ACS patients locally.
Planned allergy and reaction historyCross-checking home and ward medsDiabetes drugs and beta-blocker hidingKidney amounts and kidney-harm mixesUsing computer alerts and pharmacist helpLesson 6Overview of ACS drug treatment: anti-blood clots, blood thinners, nitrates, beta-blockers, statins, oxygen reasonReviews main ACS medicines, their ways, needs, 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 anti-blood clot agents in ACSBlood thinner choices and pickUse of nitrates for blood flow lack chest painEarly beta-blocker treatment thoughtsHigh-strength statins in ACS careOxygen use and current ACS proofLesson 7Blood thinning with enoxaparin: amounts based on weight/kidney work, timing near procedures, bleeding risk check and watchingCovers enoxaparin use for ACS blood thinning, including weight and kidney-based amounts, timing around invasive procedures, bleeding risk check, watching plans, and working with heart team.
Weight-based amount calculationsKidney problem amount changesTiming with PCI and other proceduresStarting and ongoing bleeding checkWatching anti-Xa and lab measuresReversing and handling major bleedingLesson 8Beta-blockers (metoprolol): needs, IV vs mouth use, blood pressure and heart rate rules, amount adjusting and watching for slow heartReviews metoprolol use in ACS, including needs, choosing IV versus mouth routes, blood pressure and heart rate rules, adjusting plans, and watching for slow heart, low pressure, and breath issues.
Needs and no-go in ACSIV versus mouth metoprolol choiceBlood pressure and heart rate limitsAmount adjusting and recheckWatching for slow heart and low pressureLesson 9Recording and sharing with doctor about medicine responses and lab-guided changesDetails best ways for noting medicine needs, responses, and bad events, and for sharing with doctors to guide lab-based amount changes and treatment up or down steps.
Noting needs and time of amountsCharting responses and side effectsSharing critical changes quicklyUsing labs to guide amount changesHandover reports and team notesLesson 10Watching for bad effects: low blood pressure, slow heart, bleeding, allergy reactions, and step-by-step response plansCovers early spotting and handling of low blood pressure, slow heart, bleeding, and allergy reactions after ACS medicines, using step plans, escalation signs, and noting response to actions.
Vital sign and blood flow watchingBleeding risk signs and bedside checksSpotting drug-caused slow heartFinding and treating allergy reactionsStep response and escalation pathsAfter-event recheck and noting
