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Will you administer inj streptokinase to a patient with 13 hour history of cardiac pain?

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تم إضافة السؤال من قبل مستخدم محذوف‎
تاريخ النشر: 2014/12/23
مستخدم محذوف‎
من قبل مستخدم محذوف‎

Not always. If the patientes has still chest pain and new ECG changes, yes. But if the patient has no chest pain without NO new ECG changes, NO.

Andro Perez
من قبل Andro Perez , company nurse , Magellan Performance Outsourcing Corporation

I thinks its too late, it should be given within 12 hours at the time of onset (pain). Other procedure must be considered.

Hammad Rehman
من قبل Hammad Rehman , Specialist Cardiology , Wadi Al-Dawasir General Hospital

Coronary angiography followed by appropriate intervension is best. However, if hospital has no such facility and referral is impossible within 30 minutes, then streptokinase can be given if patient is symptomatic i.e. has chest pain with persistent elevations.

Asymptomatic patients shouldn't be administered streptokinase after more than 12 hpur chest pain

Alaf  khan
من قبل Alaf khan , orotracheal intubation -Internal

NO , rather will arrange for PTCA-STENT and give oral medications (anti platelets, cyclooxygenase inhibitors and statins , nitroglycerine ,o2

مستخدم محذوف‎
من قبل مستخدم محذوف‎

Not always. Usually it is taught that12 hour is the cut off limit for administrating a thrombolytic agent( eg streptokinase). When and how we decide that we can cross this limit?

hamed alkobeili
من قبل hamed alkobeili , رئيس قسم الامراض القلبيه , وزارة الصحة

yes

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