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Mod A > Acute Medicine > Flashcards

Acute Medicine Flashcards

1
Q

What do you give to all patients for acute Rx of NSTEMI?

A

O2
Analgesia: morphine, metoclopramide
Nitrates: GTN
Aspirin

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2
Q

What additional drugs do you give to high risk NSTEMI patients with acute cardiac chest pain?

A

Fondaparinux
2nd antiplatelet: clopidogrel
IV nitrates
Beta-blocker

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3
Q

Acute STEMI Rx

A 
ECG
Bloods: esp troponin
History (CVD, RFs for IHD) and Exam
Aspiring + Ticagrelor
Morphine and metoclopramide
PCI or thrombolysis with tenecteplase then rescue PCI
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4
Q

When do STEMI patients get immediate primary PCI

A

presenting <12hr from symptoms onset
can get to PCI centre <2hrs
>12hr but with ongoing ischaemia
stable patient 12-24hr

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Mod A (5 decks)

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