ACS

Question 1

What does MONA + T stand for?

Answer 1

Morphine
Oxygen
Nitrates
Aspirin
Ticagrelor

Question 2

What dose of morphine is typically given in ACS?

Answer 2

5-10mg IV

Question 3

What should always be given alongside morphine in ACS?

Answer 3

Anti-emetic

metoclopramide 10mg IV

Question 4

How much O2 should be given during ACS and what saturations should be aimed for?

Answer 4

2-4L titrated as necessary for sats >95%

Question 5

What dose of nitrates should be given in ACS?

Answer 5

2 puffs GTN spray or 1 tablet

Question 6

What dose aspirin should be given?

Answer 6

300mg

Question 7

What dose of ticagrelor should be given?

Answer 7

180mg

Question 8

What is an alternative drug and dose to ticagrelor?

Answer 8

Prasugrel 60 mg

Question 9

What thrombolysis drugs are used for STEMI in Tayside?

Answer 9

Tenecteplase

Question 10

If a patient is having a STEMI and it is within 12 hours of onset what is the optimal management?

Answer 10

Emergency PCI (if availbale)

Question 11

If PCI is not available what is the next best treatment for STEMI?

Answer 11

Thrombolysis

Question 12

What drugs should a patient be on following acute treatment for ACS?

Answer 12

Aspirin
Ticagrelor
Statin
B-blocker
ACEI/ARB

Question 13

What is the score used to decide whether risk of MI or death is likely within 6months of admission?

Answer 13

GRACE score

Question 14

If the GRACE score shows a medium to high risk, what should be done semi-urgently?

Answer 14

Coronary angiography