ACS (ED, CDU, OBS) - Mededcoventry.com

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Pharmacolgical Management Cont ...Unstable Angina / NSTEMI MONA plus Clopidogrel 600mg Enoxoparin 1mg/kg BD ACE Inhibitor (eg Ramipril) Beta Blocker (eg Bisoprolol) GTN (PRN)In Patients with ongoing Chest pain expect an IV GTNinfusionIn Patients with ongoing chest pain and ECG changes alsoexpect Tirofiban and expedition to Catheter Lab andCoronary Care
Nursing ManagementTimely Pain management as prescribedCardiac MonitoringRegular (min 4hrly) observationHourly in <strong>ED</strong> or if on GTN infusionECGs when and ECG interpretation whenpatient in PainPOST pain releifon admission to <strong>ED</strong>/wardDailyOn DischargeBloods and Troponin Markers @ 6hrs / 12hrs post pain (as documentedby Drs or CNP)Report Ongoing pain to Doctors or CNPLimit Mobilsation – Do not let UA / Trop +ve patients mobilise freely(limit to bedside, bathroom, no showers UNLESS >24hrs pain free)
Page 3 and 4: What is ACS?Acute Coronary Syndrome
Page 5 and 6: Structure Of Thrombus In ACSThere a
Page 7 and 8: Pain areas associated with MI/ACSUs
Page 9 and 10: ST Elevation Myocardial Infarction(
Page 11 and 12: ST Elevation MyocardialInfarction (
Page 13 and 14: Dynamic T Wave Inversion
Page 15 and 16: Initial / Presenting ECG
Page 17: Pharmacological Managementof ACS In

ACS (ED, CDU, OBS) - Mededcoventry.com

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