[의대 본과 pk 실습] 급성심근경색 환자의 응급치료법, 약물치료 및 관리, 심부전의 원인 및 유발 인자

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  • 2015.04.24 / 2015.04.24
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<급성심근경색 환자의 응급치료법, 약물치료 및 관리, 심부전의 원인 및 유발 인자>
1. 심근경색증
- The prognosis in MI is largely related to the occuence of two general classes of complications.
① electrical complications (ahythmias)
② mechanical complications ("pump failure")
- out-of-hospital deaths from MI: m/c cause - sudden development of ventricular fibrillation
- vast majority of deaths due to ventricular fibrillation: within the first 24 h of the onset of symptoms (over 50%: occur in the first hour)
(1) 급성심근경색 환자의 응급치료법
1) Prehospital Care
1> recognition of symptoms by the patient and prompt seeking of medical attention.
2> rapid deployment of an emergency medical team capable of performing resuscitative maneuvers, including defibrillation.
3> expeditious transportation of the patient to a hospital facility that is continuously staffed by physicians and nurses skilled in managing ahythmias and providing advanced cardiac life support.
4> expeditious implementation of reperfusion therapy. The biggest delay usually occurs not during transportation to the hospital but rather between the onset of pain and the patients decision to call for help.
2) Management in the Emergency Department
1> Should be obtain & assess EKG(<10 min)
2> Aspirin: buccal absorption of a chewed 160-325 mg tablet
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