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63 4. Enter antispasmodics. 5. Analgesics. 6. in the inter-approach period, prolonged-acting nitrates are prescribed (erin- ite, nitrosorbide, nitrong, etc.). Acute myocardial infarction – AMI) is a focus of ischemic necrosis of a section of the heart muscle with loss of the ability to contract. Risk factors : atherosclerosis, hypertension, hypodynamia, Smoking, stress, diabetes, obesity. Clinic. Pain is more intense than with angina, lasting up to several hours, is not removed with nitroglycerin, with irradiation in the left arm, hand. Sharp General weakness. The patient is restless, feeling fear of death. Pale skin, cold sticky sweat. Blood PRESSURE first increases, then decreases, heart tones are deaf, pulse is threadlike, frequent, characteristic changes on the ECG. There may be an atypical course ofAMI, which is manifested by suffocation (asth- matic variant), pain in the epigastric region (abdominal variant), heart rhythm disor- ders (arrhythmic variant), and cerebral circulation disorders (cerebrovascular variant). Independent assistance: 1. Urgently call a doctor through a third person. 2. Provide complete physical and mental peace. Strict bed rest. 3. Nitroglycerin 1–2 tablets under the tongue, repeated every 5 minutes. 4. oxygen therapy. 5. ECG Removal. Dependent (as prescribed by a doctor) and interdependent care: 1. Pain relief: non-narcoticanalgesics, non-narcoticanalgesics+antispasmodics+ diphenhydramine. 2. if there is no effect – narcotic analgesics (promedol). 3. if there is no effect after 20–30 minutes, then neuroleptanalgesia is done (fentanyl 0.005% – 1.0–2.0 + droperidol 1.0–2.0 per Phys. solution or intravenous glucose), if necessary – repeated neuroleptanalgesia after 40 minutes. 4. nitrous oxide with 1:1 oxygen is Given. 5. anticoagulants are Administered: heparin 10,000 UNITS p/C, fibrinolysin 10,000 UNITS, aspirin 0.25. 6. to prevent rhythm disorders-antiarrhythmic agents: lidocaine 2% –4.0 (80 mg) I/V or 300 mg I/m. 7. Call the cardiology team of the SMP for hospitalization in a specialized intensive care unit on a stretcher, bypassing the emergency room. Test task Choose one correct answer: 1. Priority problem of the patient with atherosclerosis of the brain arteries: 1. headache; 3. loss of appetite; 2. chest pain; 4. fever.