Clinical Pharmacology Chapter 8 Anti Arrhythmic Drugs Q&A ( 1 OF 22 ) Sample Questions

1. DK is 44-year-old patient who has recently migrated from Syria as a refugee. He complains of chest pain. His electrocardiogram (ECG) shows he has Non-ST Elevated Myocardial Infarction (NSTEMI). He was able to reach hospital within one hour. His current blood pressure (BP) reading is 100/80 after use of Nitroglycerin SL and Acetyl Salycilic Acid (ASA) 160 mg. Coronary artery showed 54% stenosis. His wife informed you that his medical condition includes hypertension and dyslipidemia. His current medications are Hydrochlorothiazide (HCTZ) 25 mg, Atorvastatin 40 mg, ASA 81 mg. He has been taking his medication regularly. Which of the following sequence determines the next steps in this case?
  1. A. Oxygen, Nitroglycerin IV, beta blocker (BB) IV, Heparin IV, Angiotensin Converting Enzyme inhibitor (ACEi) in 24 hours.
  2. B. Oxygen, Nitroglycerin IV, Calcium Channel Blockers (CCB) IV, Heparin IV, Angiotensin Converting Enzyme inhibitor (ACEi) in 24 hours.
  3. C. Oxygen, Nitroglycerin IV, beta blocker (BB) IV, Heparin IV, PCI, Angiotensin Converting Enzyme inhibitor (ACEi) in 24 hours.
  4. D. Oxygen, Nitroglycerin IV, beta blocker (BB) IV, Heparin IV, alteplase, Angiotensin Converting Enzyme inhibitor (ACEi) in 24 hours.
  5. E. Oxygen, Nitroglycerin IV, beta blocker (BB) IV, Dalteparin, Angiotensin Receptor Blocker (ARB) in 24 hours.
Answer
Ans: A
Tips: PCI= percutaneous infusion (angioplasty with stent). Alteplase is a thrombolytic mainly used for STEMI.