Emergencies

Question 1

STEMI general mx

Answer 1

A-E
Aspirin 300mg oral 
Morphine 10 mg IV with metoclopramide 10mg iv
GTN spray
PCI or thrombolysis 
B-blocker

Question 2

NSTEMI general mx

Answer 2

A-E
Aspirin 300mg oral 
Morphine 10 mg IV with metoclopramide 10mg 
GTN spray 
Clopidogrel 300mg oral and LMW heparin

Question 3

Acute LVF general mx

Answer 3

A-E
Sit patient up 
Morphine 10 mg IV with metoclopramide 10mg 
GTN spray 
Furosemide IV

Question 4

Addition to ACUTE LVF treatment if inadequate response

Answer 4

Isosorbide dinitrate infusion +/- CPAP

Question 5

How many times is dc synchro shock allowed for cardiac arrest

Answer 5

Up to 3 times –> meds

Question 6

Medication for unstable cardiac arrest

Answer 6

Amiodarone 300mg IV over 10-20 mins
+ repeat shock: followed by

Amiodarone 900mg over 24h