ACS

Question 1

Initial management of NSTEMI (4)

Answer 1

oxygen
nitrates
morphine
metoclopramide

Question 2

antiplatelet of choice in initial management of NSTEMI

Answer 2

aspirin - chewed or dispersed in water (possibly before arrival to hospital)

apparently a LMWH or UFH is also given in hosp.
much bleed.

Question 3

if betablockers cannot be used for a patient with NSTEMI what is used instead

Answer 3

verapamil or diltiazem

Question 4

what is the acute treatment for STEMI

Answer 4

PCI

Question 5

for long term management after STEMI what could be offered if patient can’t tolerate clop and asp

Answer 5

potentially warfarin for some odd reason

Question 6

In STEMI patients who don’t go for PCI in 90 mins what should they get

Answer 6

thrombolytic therapy e.g. streptokinase or altepase

Question 7

when should another epi pen injection be given if the first does not appear to have been effective?

Answer 7

5 to 15 mins after the first

Question 8

should 999 still be called after successful use of epipen

Answer 8

yes

individual should lie down with legs raised

Question 9

what adrenaline injection does POM regulation not apply to

Answer 9

1 in 1000 (1mg per mL)