Acute MI

Question 1

How do you treat unstable angina

Answer 1

BATMAN

B - Beta blockers (eg bisoprolol)
A - Aspirin 300 mg
T - Ticagrelor 180 mg
M - Morphine (IV)
A - Anticoagulants (LMHW eg enoxaparin 1 mg/kg bd)
N - Nitrates (GTN)

Question 2

How do you treat an NSTEMI

Answer 2

BATMAN

B - Beta blockers (eg bisoprolol)
A - Aspirin 300 mg
T - Ticagrelor 180 mg
M - Morphine (IV)
A - Anticoagulants (LMHW eg enoxaparin 1 mg/kg bd)
N - Nitrates (GTN)

Question 3

How do you treat a STEMI

Answer 3

1) O2
2) Aspirin 300mg (or ticagrelor 3) 180mg or clopidogrel 300mg)
3) GTN
4) Morphine/diamorphine
5) PPCI

Question 4

What is post MI management?

Answer 4

ABAH

Aspirin 75 mg OD
Beta blockers (e.g bisoprolol)
ACE inhibitor (ramipril)
High dose statin (atorvastatin 80mg ON)