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Cheatography

ACS Treatment (STEMI) Cheat Sheet (DRAFT) by

ACS

This is a draft cheat sheet. It is a work in progress and is not finished yet.

MONA

Morphine
Oxygen
Nitroglycerin
Aspirin

Antipl­atelet

Dual antipl­atelet therapy is highly recomm­ended in the treatment of STEMI to support primary PCI and fibrin­olytic treatment strate­gies
aspirin

P2Y12 Inhibitor

Admi­nis­tered as early as possible or at the time of PCI
clopidogrel (Plavix)
prasugrel (Effient)
ticagrelor (Brilinta)

Antico­agu­lants

Anticoagulation therapy should also be initiated with either PCI or fibrin­olytic therapy for the treatment of STEMI. Treatment should be given for a minimum of 48 hours and up to eight days
bivalirudin (Angiomax)
enoxaparin (Lovenox)
fondaparinux (Arixtra)
unfractionated heparin

Glycop­rotein IIb/IIIa inhibitors

Have shown benefit when used during PCI in persons with STEMI and as an adjunct to PCI in persons with NSTE-ACS; however, triple antipl­atelet therapy has been associated with an increased risk of bleeding
tirofiban (Aggra­stat)
eptifibatide (Integ­rilin)
abciximab (Reopro)
 

Beta Blockers

Started within 24 hours in patients with STEMI
carvedilol
metoprolol

ACE Inhibitors

Should be admini­stered within the first 24 hours to all patients with heart failure, STEMI with anterior location, or ejection fraction less than 40%, in the absence of contra­ind­ica­tions to therapy
captopril
lisinopril

Statin

Continuing or initiating high-i­nte­nsity statin therapy is recomm­ended, even in patients with baseline low-de­nsity lipopr­otein choles­terol levels less than 70 mg per dL
atorvastatin
 

Discharge Medica­tions

DAPT - aspirin + P2Y12-i (atleast a year for stent)
anticoagulants (up to 8 days or as directed by provider)
beta blocker (indef­ini­tely)
ACEi/ARB (indef­ini­tely)
high intensity statin (indef­ini­tely)
nitroglycerin (PRN)