ACS

Question 1

Aspirin

Answer 1

325 mg PO chewed

Question 2

Plavix

Answer 2

600 mg PO (STEMI) or 300 mg PO (NSTEMI)

Note: DO NOT GIVE IF PATIENT WILL NEED CABG

Question 3

Nitroglycerin

Answer 3

• 0.4 mg SL q5 x3 or,
• 1/2 to 1 paste or,
• drip 10-100 ug/min

Question 4

Lovenox

Answer 4

[Enoxaparin : low molecular weight heparin]

• 1 mg/kg sq q12h
• 0.75 mg/kg if >75 yrs or GFR <30 (renally excreted)
• IV load 30 mg if >75 yrs in STEMI

Question 5

Heparin

Answer 5

Load 60 U/kg (max 4000 U) then 12 U/kg/hr (max 1000 U/hr)

Question 6

Morphine

Answer 6

0.1 mg/kg IV q5-15 min