Acute Coronary Syndrome Flashcards
3 factors affecting prognosis of ACS?
Age, LV function, ST changes
How many hours does it take for troponin to rise?
3
When do troponin levels peak?
24-48 hours
First drug and dose when ACS suspected?
aspirin 300mg
When not to give sublingual glyceryl trinitrate in NSTEMI?
SBP <90 mmHg
When do you give O2 in ACS?
if SaO2 <94%
What analgesic, dose and route of administration do you use in MI?
Morpine, 5-10 mg, IV
What antiemetic do you give in MI?
Metoclopramide 10 mg IV
What is the second anti-platelet given before PCI in STEMI? (x2)
Ticagrelor or Clopidogrel 300 mg loading dose
What dose and for how long do you continue Clopidogrel post STEMI?
75mg/day for 30 days
When do you choose fibrinolysis over PCI in STEMI?
If PCI not available within 120 mins.
What antithrombin treatment do you give to NSTEMI if NO angiography in next 24 hours?
Fondaparinux
If angiography for NSTEMI in next 24 hours what anticoagulant do you give?
Heparin
What do you give as second anti-platelet drug in NSTEMI?
Clopidogrel 300mg
How long do you continue clopidogrel for post-NSTEMI?
12 months