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OSCE > Acute coronary syndrome > Flashcards

Acute coronary syndrome Flashcards

1
Q

Initial management of acute coronary syndrome? (5)

A 
Morphine- 10mg in 10ml IV + metoclopramide 
Oxygen if sats outside target range
Nitrates (sublingual GTN)
Aspirin 300mg loading dose
Clopidogrel 300mg loading dose
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2
Q

Gold-standard for reperfusion therapy?

A

Primary PCI

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3
Q

When is thrombolysis indicated? (2)

A

STEMI (ST-elevation in two contiguous ECG leads)

New LBBB

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4
Q

Long-term management of ACS?

A

Beta-blocker
ACE inhibitor
GTN as required
Aspirin + clopidogrel

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5
Q

Changes in I, aVL, V5-V6

A

Lateral

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6
Q

Changes in II, III and aVFR

A

Inferior

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7
Q

Changes in V3, V4

A

Anterior

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8
Q

Changes in V1, V2

A

Septal

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9
Q

Blood investigations in ACS?

A

Usual bloods + troponins, lipids

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OSCE (19 decks)

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