الخروج بعد النوبة القلبية: الأدوية والعودة للنشاط

Nurse: Hello Mr Turnbull, I'm your nurse today. I'm going to go through your medicines and your recovery before you go home. How are you feeling?

Patient: Hello. A bit nervous, but I'm glad to be going home.

Nurse: What have the doctors told you so far about your heart attack and the stent?

Patient: That I had a heart attack and they put a stent in my heart.

Nurse: What do you understand about your new medicines and what each one is for?

Patient: There are quite a few new tablets. I'm not sure what each one does.

Nurse: Do you take any medicines for erectile dysfunction, such as sildenafil, vardenafil or tadalafil?

Patient: No, I don't take any of those. Is that important?

Nurse: What do you understand about getting back to activity and work, given that you drive a truck?

Patient: Not much. I drive a truck for work, so I'm worried about when I can go back.

Nurse: Is there anything else worrying you about going home?

Patient: Mostly work. And exercise too. I'm scared of overdoing it and having another heart attack.

Nurse: That's understandable, especially when work depends on driving. You must not drive commercially for at least four weeks, and you need a specialist and licensing assessment before returning.

Patient: Four weeks is hard, but I understand. I'm also nervous about exercising after all this.

Nurse: It's natural to feel nervous about exercise. The cardiac rehabilitation team will guide you step by step, and I can help you write down your questions for them.

Patient: That would help, thanks. I'll write my questions down for them.

Nurse: Please take aspirin and ticagrelor every day. They protect your stent. Don't stop either one without the cardiologist's advice. Your other medicines are atorvastatin, metoprolol and the GTN spray. Does that make sense?

Patient: Yes, that makes sense. Aspirin and ticagrelor every day, and I don't stop them without the cardiologist. How do I use the spray?

Nurse: Sit, one GTN spray under the tongue, repeat after five minutes if needed. Call 000 if pain lasts ten minutes from first spray, or is severe or worsening. No GTN within 24 hours of sildenafil or vardenafil, 48 of tadalafil.

Patient: Okay, I've got that. Sit down, one spray, and call 000 if the pain lasts ten minutes or gets bad.

Nurse: You've been referred to a cardiac rehabilitation programme, which will guide your return to activity step by step. Please don't drive commercially for at least four weeks, and get your assessment before returning.

Patient: Good, I'm glad there's a programme to guide me. I'll wait for the assessment before driving the truck.

Nurse: Could you tell me in your own words what you would do if chest pain started, and which tablets you must never stop? Is there anything else you'd like to ask?

Patient: I'd sit down, use one spray, and call 000 if it lasts ten minutes or is severe. I must never stop aspirin or ticagrelor. No more questions, thanks.