Class notes
Acute coronary syndrome
- Course
- Institution
This document contains all the relevant Student Knowledge pertaining to acute coronary syndrome, including: STEMI NSTEMI Unstable angina
[Show more]
Seller
Follow
caustin2536
Content preview
ACS IncludesUnstable angina Unstable atherosclerotic plaque
STEMI graptures promoting thrombus
N STEMI formation which varying degrees
of luminal impingement
Complete occlusion STEM I
t
Incomplete occlusion NSTEMI troponin M without
ST elevation on MI
Symptoms
Central crushing chest pain 1 Jaw or arm radiation
SOB May present atypically in pts
Nausea with diabetes or the
vomiting elderly
Sweating Delirium I B P Epigastric pain
Immediate invx
Obtain an ECG
STEMI ST segment elevation Va Va if
post STEM 1
Tall T waves ST elevation
New BB
ML
In 20 there is a normal ECG
NSTEMI VA ST depression Non specific changes
T wave inversion Normal
, Obtain a CXR
Assess for cardiomegaly mediastinal
widening
Look for non cardiac causes of chest
pain e.g Pneumothorax pneumonia
Arrange bloods
FBC Cardiac enzymes Troponin T or I
Ute with serial measurement 6 hours apart
Glucose to look for T
Lipids
1 Initial management for all pts
Continuous monitoring ideally in a CCU
Aspirin 300mg t 180mgTicagrelor
Pain relief 5 10mg IV Morphine
Anti emetic e.g 10mg IV Metaclopramide
CTN DONOT give if systolic B P 190
Oxygen If Sp02 95 or SOB
Advanced STEMI treatment
Primary percutaneous coronary intervention
Indicated if symptom onset within 12 hours
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller caustin2536. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $3.88. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
67474 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now