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Evolution of Myocardial Infarction and Complications
Hours to Days
Before 7 Days
Papillary Muscle Rupture
Interventricular Septum Rupture
Before 14 Days
Ventricular Free Wall Rupture
After 14 Days
True Ventricular Aneurysm
Left Ventricular Failure
HMG-CoA Reductase Inhibitors
Monitor Liver Enzymes
Administer at Bedtime
Cardiac Enzyme Evaluation: Troponin
Cardiac Muscle Injury
Detection in Blood: 4 Hours
Peak: 24 - 36 Hours
Return to Normal: 5 - 14 Days
Most Specific for Cardiac Muscle
Cardiac Enzyme Evaluation: Myoglobin
Skeletal or Cardiac Muscle Injury
Onset: 1 - 4 Hours
Peak: 12 Hours
Return to Normal: 24 Hours
Elevation After 24 Hours: Reinfarction
Mechanism of Action
Up to 3 doses q 5 mins
Assess Blood Pressure
Protect From Light
Use Glass Bottle and Special Tubing
Gloves for Applying Topically
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