STEMI and NSTEMI (ACS)

Question 1

STEMI immediate management

Answer 1

MMONAC

morphine
metoslopramide
oxygen (if <94)
nitrates (GTN spray)
apron 300mg
clopidogrel 300mg

PPCI if within 12hrs

Question 2

NSTEMI initial management

Answer 2

BATMAN

beta blocker
aspirin 300mg
Ticagrelor 180mg (or clopidogrel 300mg)
morphine
anticoagulant (LMWH)
nitrates (GTN)

Question 3

post MI management

Answer 3

aspirin 75mg
beta blockers - bisoprolol
ace inhibitors - ramipril
high dose statin - atorvastatin 80mg