GloriousGabe
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I had a recent patient who had all the signs and symptoms of an active MI. PT had previously had 3 MIs and several stents placed. The 12-lead EKG showed STEMI in multiple leads and "ACUTE MI" on the computer interpretation. We attempted to give the PT aspirin per our protocols but the PT was extremely nauseated and vomited several times en route to the ER.
I didn't force the issue and didn't try to convince her to take the aspirin despite vomiting. My question is: how much should I have convinced the PT to take the aspirin? I understand it definitely reduces mortality and befits coronary perfusion. Is it something where I should have really encouraged the PT to chew and swallow or let it go? I have heard that aspirin is absorbed through the stomach so could it benefit the patient even if they were to vomit 5 minutes after swallowing the aspirin?
Your thoughts are appreciated. Thank you.
I didn't force the issue and didn't try to convince her to take the aspirin despite vomiting. My question is: how much should I have convinced the PT to take the aspirin? I understand it definitely reduces mortality and befits coronary perfusion. Is it something where I should have really encouraged the PT to chew and swallow or let it go? I have heard that aspirin is absorbed through the stomach so could it benefit the patient even if they were to vomit 5 minutes after swallowing the aspirin?
Your thoughts are appreciated. Thank you.