Acute coronary syndrome Flashcards
1
Q
What is ACS?
A
Constellation of
Unstable angina
NSTEMI
STEMI
2
Q
Describe the symptoms
A
Acute onset central crushing chest pain Radiates to arms/neck/jaw Pallor Sweating N&V 'sense of impending doom;
3
Q
Investigations
A
ECG
STEMI
4
Q
STEMI
A
Hyperacute T wave
St Elevation
New onset LBBB
5
Q
NSTEMI
A
ST depression
T wave inversion
6
Q
Inferior MI
A
Leads 2, 3, AVF
7
Q
Anterior
A
V1-5
Left anterior descending
8
Q
Lateral
A
left circumflex - I, aVL, V5-6?
9
Q
Management
A
MONOBASH
Morphine Oxygen Nitraes Antiplatelets (aspirin + Clopi) B-blocker ACEi Statin heparin
10
Q
How do you acutely manage ACS
A
Sit patient up Oxygen Cardiac monitoring Bloods Cardiac exam Aspirin Ticegrador Morphine Metochlopramide PCI if within 90 mins
11
Q
Why do you give metochlopramide?
A
Because both the morphine and the HF causes sickness
