ABFM In Exam Pearls (Latest 2023 – 2024) With Complete Verified Solution Pre-exposure prophylaxis (Prep), what meds, and what do you have check first? - Emtricitabine/tenofovir got to check Hep B ... first -apparently, they kill hep B too, so if you suddenly stop the med, then reactivated hep B can lead to liver disease entry to balloon time for PCI! - 120 minutes time limit from onset of MI to balloon time - should get it done w/in 12 hours Absolute contraindications to Fibrinolysis - Previous hemorrhage stroke Previous ischemic stroke (4.5hrs-3months prior) Suspected aortic dissection Active bleeding (except menstruation) BP >180/110 (severe hypertension) Streptokinase 6 months prior acute cholecystitis - Acute inflammation of the gallbladder wall Patient with pulmonary HTN due to left heart failure, can they have vasodilators (PDE5?) - NO! can make things worse -maximize heart failure treatment! [Show More]
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