Acute Coronary Syndrome Flashcards
What are the 4 symptoms of acute coronary syndrome
Chest pain
Shortness of breath
Sweating
Nausea
What is the main drug group given to prevent acute coronary syndrome
Statins
What are the 4 monitoring aspects of statins
Lipid profile
HbA1c
Liver function tests- ALT
Creatinine kinase
When analysing blood tests, when should statin therapy be stopped
If ALT is more than 3x the upper limit
If creatinine kinase is 5x the upper limit
How long after initiation of statin therapy and baseline tests should the next blood test be
3 months
Mr B is a diabetic man who has come in for his blood test results after being on atrovastatin, his HbA1c is high. Would you continue with atrovastatin or stop treatment ? Rationalise
Continue statin therapy as the benefits of statin therapy outweigh the risk of ACS
What should every patient with acute coronary syndrome be given as treatment
Dual antiplatelet therapy
What dose of DAPT is required for management of ACS
Aspirin 300mg stat with another anti platelet
What medication is used for pain when managing ACS
SL or buccal GTN
What medication is used for pain and anxiety when managing ACS
Slow IV morphine
What medication is used for nausea and vomitting when managing ACS
Metoclopramide 10mg IV
What medication is used to improve oxygen to the heart when managing ACS
Oxygen
What can be used to restore potency of occluded arteries when managing ACS
PCI
What 4 drugs groups are used in the secondary prevention of acute coronary syndrome? Give examples of each
High intensity statin therapy - Atrovastatin 20-80mg
Beta blockers- atenolol
ACE inhibitors - Ramipril/ lisinopril
Dual antiplatelet therapy for 1 year
