Aspirin 300mg
Clopidogrel 300mg
GTN
Statin 40mg atorvastatin
Oxygen and Emergency MX
And then brought to the ward⇒
Chech ECG and enzymes and categorise patient that way
Exercise ECG to determine unstable or not!
prop up
Oxygen
Connect to monitor
Catheterise (if heamaturia stop enoxaparin)
Heparin ⇒ IM first
Then SK or tenectaplase
(depending on the age and other risks)
Advantage of SK is 1 hour infusion so can stop if adverse reactions. like tachy or brady arrythmias
Ad[vantage of tenectaplase is less reaction and can be given again, but disad must give with one in jection and cant stop.
Then rest of heparin SC
Then give angina regime and discharge on that
Sepsis ⇒ noradrenaline
Shock and HF ⇒ doputamine