MedBugs: SAQ #228

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Case: MI thrombolysis

A 50-year-old man presents to a peripheral ED without access to cardiac catheterisation with 1.5 hours of chest pain, hypotension and diaphoresis. Vitals are as follows : GCS 15 HR 90 BP 90/60 RR 20 Sats 98%RA T 37°C Weight 85kg.

1. List two relevant abnormalities on the ECG and state the likely diagnosis. 3 marks

You make the decision to thrombolyse the patient.

2. What thrombolytic agent will you use? Give your dose and instructions for delivery. 2 marks

3. State five other management priorities for this patient. 5 marks

4. What does the post-thrombolysis rhythm shown and how would you manage it? 2 marks

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Case: MI thrombolysis

1. List two relevant abnormalities on the ECG and state the likely diagnosis. 3 marks

2. What thrombolytic agent will you use? Give your dose and instructions for delivery. 2 marks

3. State five other management priorities for this patient. 5 marks

4. What does the post-thrombolysis rhythm shown and how would you manage it? 2 marks

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