Patient Encounter 2 Part

Is reperfusion therapy with fibrinolysis indicated at this time for patient RR?

What adjunctive pharmacotherapy should be administered to RR in the emergency department?

What additional pharmacotherapy should be initiated on the first day ofRR's hospitalization following successful reperfusion?

Nitrates

SL NTG followed by IV NTG should be administered to patients with NSTE ACS and ongoing ischemia (Table 8-2). The mechanism of action, dosing, contraindications, and adverse effects are the same as those described in the section on early pharma-cologic therapy for STE ACS. IV NTG is typically continued for approximately 24 hours following ischemia relief.

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