ACS

Question 1

Normal ECG

Answer 1

• admit and monitor
• serial ECG and cardiac enzymes
• MONA

Question 2

Unstable angina or NSTEMI management

Answer 2

• MONA
• heparin
• BB (unless cocaine)
• TIMI or HEART risk assessment

Question 3

STEMI management

Answer 3

• MONA
• heparin
• BB (unless cocaine)
• REPERFUSION
• ACEI going forward

Question 4

Cocaine-induced MI or prinzmetal angina

Answer 4

• CCB (no BB)
• MONA
• heparin

Question 5

Inferior/posterior STEMI management

Answer 5

• oxygen
• aspirin
• heparin
• IV fluids
• reperfusion
• NO MORPHINE OR NTG