Acute coronary syndrome

Question 1

How to do treat unstable angina NSTEMI or STEMI in the community

Answer 1

1) O2
2) Ischemic pain
3) Reperfusion
4) Prevent re-occlusion
5) Long term management SAAB

Question 2

What drug treatment do you give patients after PCI

Answer 2

Aspirin + 
Clopidogrel 
(1 month) = elective 
(12 months) = bare metal stent 
(12+ months) = Drug eluting stent

Question 3

What does SAAB Stand for

Answer 3

S Statin
A Ace inhibitor
A spirin
B Beta blocker

Question 4

What is the treatment for a medical emergency in the community for unstable angina NSTEMI

Answer 4

1) Dispersible chewable Aspirin 300mg STAT

2) GTN PRN

Question 5

What is the treatment for a medical emergency in the community for STEMI

Answer 5

1) Dispersible chewable Aspirin 300mg STAT
2) GTN PRN
3) Add on IV Diamorphine / Morphine + Metoclopramide

Question 6

What is a STEMI

Answer 6

STEMI occurs when a ruptured plaque blocks a major artery completely.

Question 7

What is an NSTEMI

Answer 7

NSTEMI is caused by a block in a minor artery or a partial obstruction in a major artery.

Question 8

What is vascular disease

Answer 8

Build up of fatty deposits in the arteries that cause restricted blood supply to the leg muscle

Question 9

What are the two types of vascular disease

Answer 9

Vascular

Occlusive

Question 10

What is the treatment for occlusive vascular disease

Answer 10

Aspirin 75mg OD plus statin for secondary prevention

Question 11

What is the treatment for Vasospastic vascular disease and counselling suggetsions

Answer 11

Nifedine and stop smoking , and avpid exposure to cold

Question 12

How to treat simple gravitational oedema in the elderly + other mechanical options

Answer 12

Raised leg
leg stocking
low dose diuretic