Which is the appropriate analgesic to relieve chest pain in a client with myocardial infarction?
Angina treatment: Stents, drugs, lifestyle changes — What's best? Show
Options for your angina treatment might include lifestyle changes, medications, or angioplasty and stenting. Discover the benefits and risks of each treatment. By Mayo Clinic StaffBlocked heart arteries are causing your chest pain (angina), keeping an area of your heart from getting enough oxygen. Your doctor says you need to treat the blockages to avoid a heart attack and other complications. There are several options for treating angina, which might depend on the type of angina you have. How do you choose? Here's information to help. Types of anginaAngina is pain, discomfort or pressure in the chest. The most common types are chronic stable angina and unstable angina.
Other types of angina include variant or Prinzmetal's angina — a rare type caused by a spasm in the coronary arteries — and microvascular angina, which can be a symptom of disease in the small coronary artery blood vessels. Treatment optionsThe best treatment for your angina depends on the type of angina you have and other factors. If your angina is stable, you might be able to control it with lifestyle changes and medicines. Unstable angina requires immediate treatment in a hospital, which could involve medicines and surgical procedures. MedicationsSeveral medications can improve angina symptoms, including:
ProceduresAngioplasty and stent placement Angioplasty, also known as percutaneous coronary intervention, increases blood flow through a blocked artery and decreases angina. During an angioplasty (AN-jee-o-plas-tee), your doctor threads a tiny, deflated balloon attached to special tubing up through an artery, generally in your groin, to your narrowed coronary artery. Your doctor inflates the balloon to widen the artery. He or she might then insert a small metal tube (stent) to keep the artery open. This procedure can take 30 minutes to several hours, and you'll probably remain in the hospital at least overnight. You can generally return to work or your normal routine soon after the angioplasty and stent procedure. Angioplasty and stenting involve some risks, including a risk of the blockage re-forming. A stent coated with medication can help prevent this. Enhanced external counterpulsation (EECP) therapy EECP therapy might be recommended for some people whose angina doesn't improve with other treatments. For this therapy, large cuffs are wrapped around your legs. Air pressure causes the cuffs to inflate and deflate in time to your heartbeat. This typically requires getting five one-hour treatments a week for seven weeks. Lifestyle changesRegardless of which angina treatment you choose, your doctor will recommend that you make heart-healthy lifestyle changes. You can reduce or prevent angina by reducing your heart disease risks factors, including:
How to chooseYou and your doctor will discuss the pros and cons of each treatment to determine what might work best for you. For most people, first steps include medications and lifestyle changes. If those don't work for you, angioplasty and stenting can be another option. Talk to your doctor if you think your treatment isn't controlling your angina well enough. Sign up for free, and stay up to date on research advancements, health tips and current health topics, like COVID-19, plus expertise on managing health. To provide you with the most relevant and helpful information, and understand which information is beneficial, we may combine your email and website usage information with other information we have about you. If you are a Mayo Clinic patient, this could include protected health information. If we combine this information with your protected health information, we will treat all of that information as protected health information and will only use or disclose that information as set forth in our notice of privacy practices. You may opt-out of email communications at any time by clicking on the unsubscribe link in the e-mail. May 21, 2021
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. Which analgesic is used in myocardial infarction?And yet, the only medication recommended for pain control in acute myocardial infarction is morphine.
How do I relieve chest pain from myocardial infarction?The immediate treatment of MI include, taking aspirin, which prevents blood from clotting, and nitro-glycerin to treat chest pain and oxygen.
What medications is given to treat myocardial infarction?Beta blockers, glyceryl trinitrate and possibly ACE inhibitors work in this way. All patients with a suspected myocardial infarction should be given aspirin. It is a powerful antiplatelet drug, with a rapid effect, which reduces mortality by 20%. Aspirin, 150-300 mg, should be swallowed as early as possible.
What is the narcotic of choice for a client with myocardial infarction?Morphine sulfate is the drug of choice for narcotic analgesia due to its reliable and predictable effects, safety profile, and ease of reversibility with naloxone.
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