Unstable angina/ NSTEMI resident survival guide: Difference between revisions

VisualWikitext

Revision as of 21:33, 24 January 2014

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Definition

Causes

Life Threatening Causes

Common Causes

Management

Diagnosis

Treatment

❑ Administer 300mg Aspirin immediately after hospital admission

❑ Administer oxygen in patients with saturation <90%
❑ Administer nitroglycerine sub-lingual ADD DOSES
❑ Administer morphine IV initial dose 2-4mg with increments of 2-8mg every 5 to 15 minutes
❑ Administer beta-blockers to all patients without contraindications
❑ Administer statins, atorvastatine 80mg

❑ Initiate anti thrombotic therapy

Determine Risk of adverse coronary event (TIMI)

LOW RISK
Initial conservative strategy

HIGH RISK
Initial invasive strategy

❑ Administer 300mg of copidogrel
❑ Administer fondoparinaux or UFH in case of renal failure

❑ Administer IV GP IIb/IIIa inhibitors (eptifibatide or tirofiban)

OR

❑ Administer Bivalirudin

Perform a Stress test

Angiography

LOW RISK

HIGH RISK

NEGATIVE

POSITIVE

References

Template:WikiDoc Sources

@@ Line 34: / Line 34: @@
 {{familytree  | | | | | | | | | B01 | | | | | | B01= Determine Risk of adverse coronary event (TIMI) }}
 {{familytree  | | | | | |,|-|-|-|^|-|-|-|.| | | }}
-{{familytree  | | | | | C01 | | | | | | C02 | | C01= LOW RISK <br> Initial conservative strategy| C02= HIGH RISK Initial invasive strategy}}
+{{familytree  | | | | | C01 | | | | | | C02 | | C01= LOW RISK <br> Initial conservative strategy| C02= HIGH RISK <br> Initial invasive strategy}}
 {{familytree  | | | | | |!| | | | | | | |!| | | }}
 {{familytree  | | | | | D01 | | | | | | D02 | | D01=
@@ Line 43: / Line 43: @@
 ❑ Administer Bivalirudin}}
 {{familytree  | | | | | |!| | | | | | | |!| | | }}
-{{familytree  | | | | | E01 | | | | | | E02 | | E01= | E02=  }}
+{{familytree  | | | | | E01 | | | | | | E02 | | E01= Perform a Stress test | E02= Angiography  }}
 {{familytree  | | | |,|-|^|-|.| | | |,|-|^|-|.| }}
-{{familytree  | | | F01 | | F02 | | F03 | | F04 | | F01= | F02= | F03= | F04=}}
+{{familytree  | | | F01 | | F02 | | F03 | | F04 | | F01= LOW RISK | F02= HIGH RISK | F03= NEGATIVE | F04= POSITIVE}}
 {{familytree  | | | |!| | | |!| | | |!| | | |!| }}
 {{familytree  | | | G01 | | |!| | | G02 | | |!| G01= | G02=}}