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1

Package for STEMI

Aspirin 300mg PO (then 75mg OD)
Ticagrelor 180mg PO (then 90mg BD)

Morphine 5-10mg + 10mg Metoclopramide IV

GTN spray x2

Bisoprolol 5mg OD

Aftercare
Ramipril 1.25mg BD --> titrate to 5mg BD
Atorvastatin 80mg OD
continue Bisoprolol 2.5mg
continue Aspirin 75mg OD
continue second anti-platelet for up to 12 months

During PCI Bivalirudin will be used

For Thrombolysis --> Tenecteplase or Altreplase

2

Package for NSTEMI

Aspirin 300mg PO (then 75mg OD)


Morphine 5-10mg + 10mg Metoclopramide IV

GTN spray x2

RISK ASSESSMENT, low --> discharge and follow-up

High, commence following:

Fondaparinux 2.5mg OD SC

Ticagrelor 180mg, ten 90mg BD

IV nitrate if pain persists

Bisoprolol 5mg OD

Review from cardiologist for angiography