ACS Slides 1 INTRO TO CODE BLUE ACS Anti- Anti-an angi ginal - - PowerPoint PPT Presentation

INTRO TO CODE BLUE ACS Slides

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INTRO TO CODE BLUE

ACS

① Anti- Anti-an angi ginal al O2, nitroglycerin, morphine ② Anti-pl plat atel elet et 1st: ASA (162mg PO chewable) 2nd: P2Y12 inhibitor (clopidogrel, ticagrelor, or prasurgrel – not if hx stroke/TIA) 3rd: glycoprotein IIb/IIIa inhibitor (consider at PCI) ③ Anti-coagu

• agulat

ation

• n

If fibrinolytics: UFH, LMWH, or fondaparinux If PCI: UFH, bivalirudin, or UFH+bivalirudin ④ Revasc ascular arizat ation

• n

Fibrinolytics (TNK), PCI, or CABG ⑤ Risk sk fac actor

• r redu

eduction

• n

Beta-blocker, ACEi/ARB, and Statin Aldo antagonist (e.g. eplerenone): on BB/ACEi, either sx HF or DM, and EF<40% Quit smoking

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INTRO TO CODE BLUE

ACS DOSES FOR SELECT MEDS

Drug g Load

• ad

Mai ainten enan ance e Durat ation

• n

ASA 162mg PO 81mg/day Lifelong Clopidogrel 600mg pre-PCI 300mg lytics <24h 75mg > age 75 75mg/day 1 year Ticagrelor 180mg 90mg BID 1 year Heparin IV bolus weight based IV infusion (Goal 1.5-2x PTT) 48h or until revascularization LMWH IV bolus weight based SC injections Up to 8 days or until revascularization ACEi

• Lifelong

Beta-blocker

• Lifelong

Statin

• Lifelong

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