For a fictional case. I have researched the Heart Assoc site and others, some things are unclear. A male in early 60s presents with chest pains, w/history of cholestorol and blood pressure. 1. What tests would be done? 2. if the diagnosis is Angina, what type of treatment/meds would he get? 3. would he be kept in the hospital or released same day? 3a. if yes, then how long a stay and is it standard for such an Angina patient with coronary blockage to be in ICU? 4. if stent implantation w/ angioplasty is recommended, would it be done immediately as an emergency procedure, or would it be done after several days past intitial ER visit, or would patient be released and told to undergo the implantation as an outpatient procedure?
I'm trying to be as accurate with regards to treatment protocols, and how many days testing and treatment would cover. I've read there is a move to get the patient to the Cath lab within 90 minutes instead of waiting for the cardiologist to ok it. thanks you!
take nitro and call 911. follow up with the cardiologist.
1. cardiac enzymes-ck,ckmb if ck is really high, troponin, ekg, LFT, pt,ptt,inr, etc
2. asprin, nitroglycerin SL q5mx3
3.kept to find out the underlying problem. perhaps a stress test would be needed to differentiate between/ stable vs unstable angina.
4.may stay in hospital for monitoring, however, stay would not be long post implantation. not sure if it would be an "emergency procedure" since it is angina.
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