You are called to review a 78-year-old man on the surgical wards. He is three days post-op following a colectomy. He was recently diagnosed with colon cancer (Duke's C) and has a history of polymyalgia rheumatica. Current medications include co-codamol 30/500, prednisolone and prophyl actic dose low-molecular weight heparin. Five minutes ago he started to complain of severe central chest pain. An ECG performed by the nurses shows ST elevation in the anterior leads. Aspirin and oxygen have been given by the Foundation 1 doctor.
What is the most appropriate treatment?
A.A IV diamorphine + increase low-molecular weight hepa rin to treatment dose + double his prednisolone dose
B.A IV diamorphine + arrange echocardiogram urgently to exclude pericardial tamponade
C.A IV diamorphine + call the family in to discuss withdrawal of treatment
D.A IV diamorphine + arrange percutaneous coronary intervention***
E.A IV diamorphine + thrombolysis.
What is the most appropriate treatment?
A.A IV diamorphine + increase low-molecular weight hepa rin to treatment dose + double his prednisolone dose
B.A IV diamorphine + arrange echocardiogram urgently to exclude pericardial tamponade
C.A IV diamorphine + call the family in to discuss withdrawal of treatment
D.A IV diamorphine + arrange percutaneous coronary intervention***
E.A IV diamorphine + thrombolysis.
Labels
cardiology