Question

Mr J TAM has been admitted to Medical Ward B1 at 1800 today via A&E with Non-ST-elevation myocardial infarction ("NSTEMI"). He is planned for Percutaneous Coronary Intervention ("PCI") with drug eluting stent ("DES") on tomorrow morning.

a) What medications should be initiated in Mr TAM upon the diagnosis of NSTEMI prior to PCI? Please provide dose, route and frequency for each medication. (4 marks)

b) Should a fibrinolytic be used as part of the acute management of Mr TAM's NSTEMI? Explain your decision. (4 marks)

c) What medications should Mr TAM be discharged with after his PCI? Give a full medication list with drug names and recommended duration of therapy you would make sure Mr TAM gets upon discharge. (Dose, route, and frequency are not required) (7 marks)

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