A patient is being discharged after an MI and will be undergoing rehabilitation for 2 weeks
The nurse is planning a teaching session on long-term pharmacologic agents and should include discussion of which of the following drugs in the teaching session? (Select all that apply.)
a. Beta blockers
b. Low-dose vitamin E daily
c. Low-dose aspirin (81 to 162 mg/day)
d. ACE inhibitors
e. Moderate doses of acetaminophen (650 mg/day)
ANS: A, C, D
Treatment with beta blockers should continue at least 2 to 3 years and perhaps longer. Beta blockers have been found to reduce recurrent ischemia and reinfarction. Prolonged therapy with aspirin (81 to 162 mg/day) reduces the risk of reinfarction, stroke, and death. ACE inhibitor therapy should continue for 6 weeks in all patients with STEMI, barring contraindication, and indefinitely in patients with LV dysfunction.
Low-dose vitamin E and acetaminophen are not indicated in patients with STEMI.
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