ACS management Flashcards
1
Q
Initial management (4 things)
A
Aspirin 300mg
O2 if sats <94%
Morphine if severe pain
Nitrates - avoid if BP low
2
Q
STEMI - step 1
A
Aspirin 300 mg
3
Q
STEMI - PCI in 120 mins? Yes (4 things)
A
Prasugrel
Radial access
Give unfractionated heparin
Drug eluting stents
4
Q
STEMI - PCI in 120 mins? No (2 things)
A
Antithrombin
Then ticagrelor
5
Q
STEMI - persistent ECG changes 90 mins after fibrinolysis
A
PCI
6
Q
STEMI - patient high bleed risk
A
Swap prasugrel for ticagrelor
Swap ticagrelor for clopidogrel
7
Q
STEMI - patient on oral anticoagulant
A
Swap prasugrel for clopidogrel
8
Q
NSTEMI - step 1
A
Aspirin 300 mg
Fondaparinux if not immediate PCI
9
Q
NSTEMI - step 2
A
Calculate GRACE score
10
Q
NSTEMI - <3% (low risk)
A
Ticagrelor
11
Q
NSTEMI - >3% (intermediate/high risk)
A
PCI within 72 hrs
