Final answer:
The optimal management for a patient after a non-ST elevation MI treated with a DES includes immediate treatments like oxygen, aspirin, and nitroglycerin, followed by lifestyle changes, cholesterol and blood pressure management, and possibly further coronary interventions such as angioplasty or CABG.
Step-by-step explanation:
The most appropriate management for a 50-year-old female (F) evaluated in the hospital following a non-ST elevation myocardial infarction (MI) treated with a Drug-Eluting Stent (DES) involves several steps aimed at both immediate and long-term care. Immediate treatments that are essential include administering supplemental oxygen, aspirin to help break up clots, and sublingual nitroglycerin to facilitate absorption and improve blood flow. To support these treatments, long-term management should include lifestyle changes such as adopting a diet low in sodium and saturated fats, quitting smoking, achieving weight loss, and engaging in regular exercise.
Medical treatment may also comprise drugs such as cholesterol-lowering medications, beta-blockers, calcium channel blockers, and anticoagulants like heparin. It is also important to monitor and manage the patient's blood pressure. In some cases, additional coronary interventions such as balloon angioplasty or coronary artery bypass grafting (CABG) may be considered if further anatomical issues are present or the patient is not responding well to medication and lifestyle adjustments.