Scribd
Upload
18 views1 page

ACS Management Protocol Flowchart

Uploaded by

MubeenAhmed
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
18 views1 page

ACS Management Protocol Flowchart

Uploaded by

MubeenAhmed
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 1

Acute Coronary Syndrome (ACS) Management Protocol

Step 1: Initial Assessment and Monitoring

Obtain vitals, perform 12-lead ECG, and collect blood samples (troponin, CBC, electrolytes).

Step 2: Immediate Pharmacologic Management

Aspirin: 160-325 mg, chewed.

P2Y12 Inhibitor (e.g., Clopidogrel 300-600 mg, Ticagrelor 180 mg).

Nitroglycerin: 0.4 mg SL every 5 minutes, up to 3 doses.

Morphine: 2-4 mg IV for pain.

Oxygen if saturation < 90%.

Step 3: Anticoagulation

Unfractionated Heparin: 60-70 units/kg IV bolus, then 12-15 units/kg/hr.

Enoxaparin: 1 mg/kg SC every 12 hours.

Step 4: Beta-Blockers (within 24 hours if no contraindications)

Metoprolol: 5 mg IV every 5 minutes (3 doses), then 25-50 mg orally every 6 hours.

Step 5: Statin Therapy

Atorvastatin: 80 mg orally daily.

Step 6: Reperfusion Therapy (for STEMI)

PCI within 90 minutes of first medical contact if possible.

Fibrinolytic Therapy if PCI unavailable: Alteplase or Tenecteplase.

Step 7: ACE Inhibitors / ARBs (within 24 hours if LVEF < 40%)

Lisinopril: Start with 2.5-5 mg orally daily.

Losartan: 25-50 mg orally daily if ACE inhibitors are not tolerated.

Step 8: Additional Measures and Long-Term Management

Lifestyle changes, dual antiplatelet therapy (Aspirin + P2Y12 inhibitor), follow-up.

You might also like