Cardiology
Compiled By Masterpiecesolutions
Edition: 2025/26
, Medical & Nursing | Misc Healthcare Topics I of XIII pages
1. Initial NSTEMI treatment
Aspirin (chewed/dispersed in water - alert if aspirin given before hospital), Clopidogrel (ticagelor, prasugrel in
patients that have a PCI),O2 (extra care needed if COPD), Nitrates ( GTN sublingual then IV/Buccal or iso)
2. STEMI treatment
Initial = Aspirin (chewed/dispersed in water alert if aspirin given before hospital), Clopidogrel (ticagelor,
in some patients that have PCI),O2 (extra care needed if COPD), Nitrates ( GTN sublingual then IV/Buccal or
and Morphine for pain (antiemetic too)PCI/thrombolytic drug (reperfusion therapy) to open artery, PCI
3. What beta blockers should be used if Left ventricular dysfunction
bisoprolol, carvedilol, metoprolol
4. What CCB to use if beta blockers are contraindicated in those with left ventricular dysfunction
Diltiazem and verapamil
5. What diuretic is used for left ventricular dysfunction heart failure
Epleronone
6. How to manage Von Willebrand Disease haemophilia
Desmopressin
7. what fibrinolytic (plasminogen activator) treats DVT
Streptokinase
8. What drug inhibits fibrinolysis
Tranexamic acid
9. what fibrinolytic (plasminogen activator) treats PE
Alteplase
10. Role of hydralazine
adjunct to other antihypertensives for resistant HT, hypertensive crisis, heart failure
11. Concerns with Thiazides in renal impairment
Not to be used below 30mL/minute/1.73m2 (Metolazone can still be used)
12. Thiazide use in pregnancy and breastfeeding
Not to be used in pregnancy but alright in breastfeeding women
13. What are the side effects of minoxidil and how are risks reduced
Increasing cardiac output and fluid retention so needs to be given with beta blockers and diuretic, causes
14. What is methyldopa
a centrally acting antihypertensive, can be used in pregnancy
15. What is clonidine
a centrally acting antihypertensive
Misc Healthcare Topics 2025/26 Edition