any role for repeated thrombolysis in 2nd day for pt. who reinfarcted again?
say pt. present with inf. STEMI receive Lytic therapy and in 2nd or 3rd day reinfarcted again with anti STEMI and there’s no PCI capable center..
can i give Lytics again????
any ideas
Yes you can give
– non-selective fibrinolytic agents :such as streptokinase ( antibodies) : you can give again within 5 days or after 6 months
_ for selective fibrinolytic agents ( no antibodies) : it’s ok whatever you want
while you can give repeated doses within 5 days, you also increase the risk of bleeding -which is not a minor morbidity…that is one reason why cardiologists do not favor repeat doses
Yes .
Stk not to be given from 7 days to 1 year of first administration.
However, search for cardiac source of embolus for mi occuring in such close proximity.
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