cardio

• What is the management for a 70-year-old man with STEMI changes on ECG?

  Aspirin, nitrates, morphine, oxygen, prasugrel
• What is the pulse rate of the 70-year-old man with chest pain?

  102/min
• What is the blood pressure of the 70-year-old man with chest pain?

  160/90 mmHg
• What is the oxygen saturation of the 70-year-old man with chest pain?

  93%
• What is the management for a 50-year-old man with STEMI changes on ECG?

  Aspirin, nitrates, morphine, prasugrel
• What is the pulse rate of the 50-year-old man with chest pain?

  90/min
• What is the blood pressure of the 50-year-old man with chest pain?

  140/80 mmHg
• What is the oxygen saturation of the 50-year-old man with chest pain?

  96%
• What is the management for a 60-year-old man with NSTEMI changes on ECG?

  Aspirin, nitrates, morphine, clopidogrel
• What is the pulse rate of the 60-year-old man with chest pain?

  66/min
• What is the blood pressure of the 60-year-old man with chest pain?

  130/82 mmHg
• What is the oxygen saturation of the 60-year-old man with chest pain?

  98%
• What should be calculated for a 60-year-old man with NSTEMI changes on ECG?

  GRACE score
• What is the management for NSTEMI identified with aspirin given?

  • PCI within 72 hours if mortality >3%
  • Assess 6-month mortality using GRACE
  • Give aspirin 300mg + fondaparinux
• What should be given for STEMI identified with aspirin given?

  Assess whether PCI possible within 120 minutes
• What is the dose of aspirin given for STEMI identified?

  300 mg
• What should be given if STEMI identified and fibrinolysis is administered?

  Give an antithrombin
• What should be given for NSTEMI identified with aspirin given?

  Aspirin 300 mg + fondaparinux
• What should be given for STEMI identified with aspirin given and having PCI?

  Prasugrel
• What is the access method for STEMI identified with PCI and prasugrel given?

  Radial access
• What should be given for NSTEMI identified with aspirin given and intermediate/high risk?

  Prasugrel or ticagrelor
• What is the management for NSTEMI identified with low 6-month mortality?

  Conservative management - give ticagrelor
• What is the dose of IV adrenaline for adult patients during ALS?

  1 mg
• How often should IV adrenaline be repeated during ALS?

  Every 3-5 minutes
• What is the dose of IV amiodarone during a VF/VT cardiac arrest?

  150 mg
• When should IV amiodarone be given during a VF/VT cardiac arrest?

  After the fifth shock
• How often should a single defibrillation shock be given for VF/pulseless VT?

  Every 2 minutes
• When should IV adrenaline be given for non-shockable rhythms?

  As soon as possible
• What is the dose of IV amiodarone during a VF/VT cardiac arrest after the third shock?

  300 mg
• When should IV thrombolytic be considered?

  If a pulmonary embolus is suspected
• What should be considered for VF/pulseless VT in an HDU setting?

  3 'stacked' defibrillation shocks
• What are the antiplatelet management strategies for acute coronary syndrome?

  • Medically managed: aspirin (lifelong) & ticagrelor (12 months)
  • PCI: aspirin (lifelong) & prasugrel or ticagrelor (12 months)
  • Peripheral arterial disease: aspirin (lifelong)
  • Ischaemic stroke: aspirin (lifelong) & dipyridamole (lifelong)
  • TIA: clopidogrel (lifelong) or aspirin & dipyridamole (lifelong)
• What should be considered for a male with CHA2DS2-VASc of 1?

  Consider anticoagulation with warfarin or NOACs
• What should be offered for a male with CHA2DS2-VASc of 2 or more?

  Offer anticoagulation with warfarin or NOACs
• What is the anticoagulation recommendation for a female with CHA2DS2-VASc of 1?

  No anticoagulation
• What is the anticoagulation recommendation for a patient with CHA2DS2-VASc of 0?

  No anticoagulation
• What is the classification of a 60-year-old man with recurrent episodes of atrial fibrillation that terminate spontaneously?

  Paroxysmal atrial fibrillation
• What is the classification for a 60-year-old man who uses flecanide to cardiovert himself into sinus rhythm?

  Persistent atrial fibrillation
• What is the classification for a 70-year-old man treated with a beta-blocker for atrial fibrillation?

  Permanent atrial fibrillation
• What is the classification for a 50-year-old man who develops atrial fibrillation while treated for pneumonia?

  First time atrial fibrillation