Acute coronary syndrome treatment

Question 1

Anti-platelet treatment

Answer 1

Aspirin 300mg oral

if not already self administered

Question 2

Pain relief

Answer 2

Repeat at 5min intervals:

• GTN 600mcg if SBP >110mmHg
• GTN 300mcg for elderly and frail
• GTN patch 50mg (0.4mg/hr) upper torso
  remove patch if bp falls <90mmHg

Question 3

STEMI treatment

Answer 3

• Place on defib pads
• Nearest cath lab
• Inferior STEMI: no GTN to be administered