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Plavix


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#1 medicerik

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Posted 18 February 2010 - 02:04 AM

How many people have protocols for plavix administration to ACS patients going for cath? If so, just for STEMI or NSTEMI as well?
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Erik Glassman, BS, CCEMT-P, FP-C, EMT-T

#2 Mike Mims

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Posted 18 February 2010 - 02:41 AM

STEMI with on set of <12hrs we give 600mg PO and reduce the dose to 300mg if the patient takes Plavix.

As for Non-STEMI, I haven't taken one to the Cath lab. (not that it doesn't happen) They usually are admitted to the CC unit for treatment (Nipride, B-blockers, anticoagulants etc...) for those pt's we might use Enoxaparin or Integrilin and Plavix. It depends on what Cardiology is planning for their treatment plan; CABG/PCI
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Mike Mims

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University of Mississippi Medical Center


#3 medicerik

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Posted 18 February 2010 - 02:13 PM

STEMI with on set of <12hrs we give 600mg PO and reduce the dose to 300mg if the patient takes Plavix.

As for Non-STEMI, I haven't taken one to the Cath lab. (not that it doesn't happen) They usually are admitted to the CC unit for treatment (Nipride, B-blockers, anticoagulants etc...) for those pt's we might use Enoxaparin or Integrilin and Plavix. It depends on what Cardiology is planning for their treatment plan; CABG/PCI


We occasionally get an NSTEMI out of one of our local ED's that is being transferred directly to the lab. Fortunately, the overwhelming majority are STEMIs.
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Erik Glassman, BS, CCEMT-P, FP-C, EMT-T

#4 pureadrenalin

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Posted 11 April 2011 - 02:09 AM

We carried 5000iu of Heparin at my old service. Pretty awesome!
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