Treatments

Question 1

STEMI - During

Answer 1

M - Morphine
O- Oxygen (if sats <94)
A - Asprin + Clopidogrel / Ticagrelor
N - Nitrates

Emergency reperfusion

Pericutaneous Coronary Intervention (if < 3 hours)

Fibrinolytic therapy of streptokinase/alteplase/reteplase

Question 2

Stemi - Management after

Answer 2

Lifestyle changes

A - ACE inhibitors - e.g. ramipril
B - Beta blocker - e.g. propanolol
A - Angiotensin receptor antagonists - e.g. valsartan
S - Statins - e.g. atorvastatin

Question 3

NSTEMI - During

Answer 3

M - Morphine
O- Oxygen (if sats <94)
A - Aspirin + Clopidogrel / Ticagrelor
N - Nitrates

If high risk:
Antiplatlets - Aspirin
Anticoagulant therapy - e.g. apixaban
Beta blockers - e.g. propanolol
and consider:
glycoprotein IIb / IIIa inhibitors or revascularisation

If low risk:
Monitor troponin + ECG

Question 4

NSTEMI - Management after

Answer 4

Lifestyle changes

A - ACE inhibitors - e.g. ramipril
B - Beta blocker - e.g. propanolol
A - Angiotensin receptor antagonists - e.g. valsartan
S - Statins - e.g. atorvastatin

Question 5

Unstable angina - During

Answer 5

M - Morphine
O- Oxygen (if sats <94)
A - Aspirin + Clopidogrel / Ticagrelor
N - Nitrates

If high risk:
Antiplatlets - Aspirin
Anticoagulant therapy - e.g. apixaban
Beta blockers - e.g. propanolol
and consider:
glycoprotein IIb / IIIa inhibitors or revascularisation

If low risk:
Monitor troponin + ECG

Question 6

Unstable angina - After

Answer 6

Lifestyle changes

A - ACE inhibitors - e.g. ramipril
B - Beta blocker - e.g. propanolol
A - Angiotensin receptor antagonists - e.g. valsartan
S - Statins - e.g. atorvastatin

Question 7

Stable angina - During

Answer 7

GTN Spray

Question 8

Stable angina - after

Answer 8

Lifestyle changes

A - ACE inhibitors - e.g. ramipril
B - Beta blocker - e.g. propanolol
A - Angiotensin receptor antagonists - e.g. valsartan
S - Statins - e.g. atorvastatin

Question 9

Pericarditis

Answer 9

Rest until symptoms relieved
ECG
NSAID's - e.g ibuprofen
Asprin
Colchine

Question 10

Heart failure

Answer 10

Diuretics
ACE inhibitors
Beta Blockers - start low and titrate upwards
Aldosterone antagonists
Angiotensin receptor blockers