Acute Coronary Syndromes Algorithm

Free handy references about Acute Coronary Syndromes Algorithm from the ACLS Certification Institute.

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1. Aspirin, EKG,
oxygen,
nitroglycerin
every 5 minutes,
Morphine for
severe pain
Aspirin, EKG,
oxygen,
nitroglycerin
every 5 minutes,
Morphine for
severe pain
Complete STEMI
checklist
Complete STEMI
checklist
Begin reperfusion
protocol (PCI or
Fibrinolytic)
Begin reperfusion
protocol (PCI or
Fibrinolytic)
Onset of
symptoms
< 12 hours??
Onset of
symptoms
< 12 hours??
Initiate
Adjunctive Therapies
Initiate
Adjunctive Therapies
Admit for monitoring
Admit for monitoring
Yes No
Acute Coronary
Syndrome
(ACS)
Possible
MI
Diagnosis
Chest pain radiates
to jaw, arm, shoulder,
shortness of breath,
nausea, vomiting,
EKG changes
Door to needle
time for fibrinolytics
< 30 minutes;
Time to PCI
< 90 minutes
ACLS Certification Institute
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Heparin, beta blockers,
ACE inhibitors