RRAPID ACUTE CORONARY SYNDROME

Question 1

Risk factors (9)

Answer 1

1. increasing age
2. males
3. FH
4. smoking
5. HTN
6. DM
7. hyperlipidaemia
8. obesity
9. sedentary

Question 2

Symptoms

Answer 2

1. chest pain
2. heavy
3. crushing
4. radiating to the jaw or left arm
5. history of angina
6. SOB
7. sweaty
8. nausea
9. palpitations
10. signs of heart failure

Question 3

What may be seen on ECG? (2)

Answer 3

1. NSTEMI

2. STEMI

Question 4

What happens to troponin levels?

Answer 4

rise

Question 5

What does the CXray show? (2)

Answer 5

1. pulmonary oedema

2. cardiomegaly

Question 6

What would you response be to NSTEMI?

Answer 6

A

B

• O2 15l/min reservoir mask

C

• IV access
• bloods
• ECG

Main treatment

1. Morphine
   - titrate 2.5-10mg slow IV bolus
2. Glycerate trinitrate (GTN)
   - 2 sprays
3. Aspirin
   - 300 mg oral
4. Ticagrelor

(tie-cag-greylor)

• 180mg orally
  5. LMWH

MONAT

Question 7

What additional things would you do in a STEMI? (2)

Answer 7

1. primary percutaneous coronary intervention (PCI)

2. thrombolysis