C4 Flashcards
STEMI Management
MONA
Morphine 10mg IV (+ cyclizine 50mg IV)
Oxygen
GTN
Aspirin 300 mg
+ bisoprolol 2.5 PO
PCI / thrombolysis
NSTEMI Management
MONA
Morphine 10mg IV (+ cyclizine 50mg IV)
Oxygen
GTN
Aspirin 300 mg
+ bisoprolol 2.5 PO
Clopidogrel 300 mg + LMWH / fondaparinux
Pneumonia
CURB 65 (confusion, urea >7.5, RR > 30, BP syst > 90, age >65)
None: Home + PO Abe
2 or more: admit + IV Abx
> 3: consider ITU
PE management
LMWH
DKA cause
Hyperglycaemia in T1DM
Dx: hyperglycaemia, ketones, acidosis (ABG)
HHS cause
Hyperglycaemia in T2DM
Dx: hyperglycaemia, hyperosmolar = (2Na + 2K) + urea + glucose, no ketones!
Hypoglycaemia Mx
Eat: sugary snack
NBM + cannula: IV glucose 10% 100 ml over 10-20 minutes
NBM + no cannula: IM glucagon 1mg