STEMI management Flashcards
1
Q
What are the treatment steps for STEMI management?
A
Transmit ECG
Request MICA
Treat as ACS
Thenn determine transport facility
2
Q
When is urgent transport to a PCI facility required?
A
When time to PCI is <1 hour
3
Q
WHat is the treatment if time to PCI is <1 hour
A
Continue Mx as ACS Tran sport with hospital notification Heparin IV Bolus 4000IU - repeat 1000IU hourly Capture ECG every 30 mins
4
Q
When is pre-hospital thrombolysis indicated?
A
When time to PCI is over 1 hour
5
Q
What is the treatment is pre-hospital thrombolysis is indicated?
A
- IV access X2 with NS TKVO
- Complete thrombolysis checklist
- Tenecteplase IV Bplus
- Heparin IV Bolus 4000 IU
- > repeat heparin 1000 IU every hour
- transport with notification
- transmit 12 lead ecg
- capture ecg every 30 mins
6
Q
What are the contras for heparin?
A
- Known hypersensitivity
- Active bleeding (excluding menses)
- Oral anticoagulants
- Bleeding disorders
- History of heparin-induced thrombocytopenia
- Severe hepatic impairment including oesophageal varices
- Recent trauma or surgery
7
Q
What are the precautions for Heparin
A
renal impairment
8
Q
Whata re the side effects of heparin?
A
- Bleeding
- Bruising and pain at injection site
- Hyperkalaemia
- Thrombocytopaenia
