2022-05-18 18:09:47
#ᑕᗩᖇᗪIOᒪOGY_78 #ACS_6 #STEMI
Dual Anti platelet Therapy ( #DAPT) part 3
ال Cangrelor واحد من ال P2Y12 Inhibitor اللي بيتاخد I.V ..
متى ممكن نلجأ لل Cangrelor ..
Cangrelor may be considered if the patient either has not yet received a loading dose of an oral P2Y12 inhibitor at the time primary PCI starts or is unable to ingest an oral drug.
Sometimes used in STEMI patients in cardiogenic shock and/or when oral administration of a P2Y12 inhibitor is difficult.
حسب ال ESC فاستخدام ال Cangrelor يعتبر class 2b
جرعته :
Percutaneous coronary intervention: IV: 30 mcg/kg bolus prior to percutaneous coronary intervention (PCI) followed immediately by an infusion of 4 mcg/kg/minute continued for at least 2 hours or for the duration of the PCI, whichever is longer.
لو بعدها المريض هيتشفت ع Oral P2Y12 Inhibitor
لو هنمشيه ع clopidogrel , فهياخد المريض 600mg بعد ما يتوقف ال Cangrelor Infusion مباشرة
Do not administer clopidogrel prior to cangrelor discontinuation.
لو هيمشي ع Ticagrelor ,فهياخد Tica بجرعة 180mg
خلال ال cangrelor Infusion او بعد ايقاف ال Cangrelorمباشرة
اما لو هيمشي ع Preasugrel فهياخد 60mg بعد ايقاف ال
Cangrelor Infusion
وبردو زيه زي ال Plavix ممنوع يتاخد قبل ما يتوقف ال Cangrelor infusion
#لعلي_أفيدك
326 viewsHadeeL, 15:09
C
