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Acute Coronary Syndrome: Certification Institute
Acute Coronary Syndrome: Certification Institute
Acute Coronary Syndrome: Certification Institute
ACLS
certification institute
www.aclscertification.com
Ischemia or acute MI
10 min
Immediate ED Treatment
_
Administer O2 at 4L/min, titrate to SPO2 >94%
Administer Aspirin 16--325 mg
(if not administered by EMS)
Administer sublingual or spray Nitroglycerin
Consider IV Morphine if pain not relieved
by Nitroglycerin
(Assess for contraindications for all
drug administrations)
30 min
13 Normal or nondiagnostic
ST or T wave changes
ST-Elevation MI (STEMI)
12-Lead ECG
Interpretation
Low/intermediate-risk ACS
14
Start adjunctive therapies as needed
Do not delay reperfusion
10
7 Onset of symptoms
High-risk patient or
elevated Troponin level
Consider invasive therapies if:
No
_
<12
hrs?
of the following?
Yes
Yes
11
No
Nitroglycerin
Heparin (UFH or LMWH)
Consider:
therapy
Consider admission to ER
or appropriate unit
PO -Blockers
Clopidogrel
Glycoprotein IIb/IIIa inhibitor
90 min
16
Abnormal findings on
diagnostic non-invasive imaging
or physicologic testing?
30 min
12
Yes
No
17