ACS

Question 1

ASA

Answer 1

325 chewed

Question 2

Plavix (STEMI)

Answer 2

600 mg PO, give anti-emetic first

Question 3

Plavix (NSTEMI)

Answer 3

300 mg PO, give anti-emetic first

Question 4

Nitroglycerin

Answer 4

0.4 mg SL q5m x 3 or 1/2-1” paste or drip 10-100 mcg/min

Question 5

Lovenox

Answer 5

1 mg/kg SQ q12h, 0.75 mg/kg if >75 y/o or GFR <30, IV load of 30 mg in STEMI if >75 y/o

Question 6

Heparin

Answer 6

Load 60 units/kg (max 4000U) then 12 units/kg/h (max 1000U/h)

Question 7

Morphine

Answer 7

2.5-5 mg IV q5-15m

Question 8

Beta Blocker (Metoprolol)

Answer 8

5 mg IV q2m (15 mg max)

Note: Stacking effects with rapid dosing

Question 9

Beta Blocker (Labetalol)

Answer 9

10 mg IV q10m