Cardiology · Non-selective COX-1 inhibitor / antiplatelet
Aspirin (cardio dose)
Dose
Load 300 mg PO chewed in ACS. Maintenance 75–100 mg OD.
Mechanism
Indications
- • ACS (loading 300 mg)
- • Secondary CV prevention (75 mg OD)
- • Post-PCI/CABG
- • Atrial fibrillation (rarely, if OAC contraindicated)
Contraindications
- • Active bleeding
- • Peptic ulcer
- • Severe asthma (aspirin-sensitive)
- • Age <16 (Reye)
- • Severe hepatic/renal impairment
Use
Monitoring
Side effects
- • GI bleeding/ulcer
- • Bronchospasm
- • Tinnitus (toxicity)
- • Reye syndrome
Related in WardRound
Shock
Protocol · Hypoperfusion / circulatory failure
STEMI
Protocol · PPCI < 120 min
NSTEMI / Unstable Angina
Protocol · Risk-stratify with GRACE
Acute Heart Failure / Pulmonary Oedema
Protocol · LMNOP
Cardiogenic Shock
Protocol · Pump failure
Stroke
Protocol · Time is brain — FAST
Acute Coronary Syndrome
Topic · Cardiology
Stroke (Ischaemic)
Topic · Neurology
Pre-eclampsia
Topic · Obs/Gynae
Pre-eclampsia
Topic · Obs/Gynae
ST-Elevation Myocardial Infarction (STEMI)
Topic · Cardiology
Non-ST-Elevation MI / Unstable Angina
Topic · Cardiology
Always confirm dose against your local formulary / BNF before prescribing.
