Mx of acute coronary syndrome

Question 1

What do the first 3 steps of management involve?

Answer 1

ECG

IV access and bloods

History and examination

Question 2

Which bloods are taken in acute mx of ACS?

Answer 2

FBC

U and E

Lipids

Troponin

Question 3

Which drugs are administered in emergency mx of ACS?

Answer 3

1. IV Morphine and antiemetic (Metoclopromide)
2. Oxygen and Iv access
3. GTN
4. Asprin 300 mg and
   Ticagrelor 180 mg

Question 4

What is the final step that determines treatment of acute ACS?

Answer 4

• Check whether there is a ‘ST’ elevation on ECG

- Determines treatment as a STEMI or NSTENI/Angina