admitting orders, darrow Flashcards
What systems could be involved that cause chest pain
cardio
pulmonay
GI
MSK
other (anxiety)
What are Dx of chest pain that you don’t want to miss
P4A3
Pulmonary Embolus, Pneumothorax, Perforated esophagus, Pericarditis
Acute MI, AA and Acute Chest syndrome
What is typical presentation of angina
substernal chest pain
provoked on exertion or emotion
relieved by rest of NTGT
what is classification of atypical angina
2 of angina critera:
substernal chest pain, provoked on exertion, relieve by rest or NTGT
how do you Tx pericarditis
indocin or colochicine
What are standard admission orders for MI
Dx
Disposition
drugs
diet
allergies
activity
assessment/nursing
analysis (labs)
what is the grace risk score for MI based on and what score is significatn
age, HR, systolic BP, creatinine, killip class, cardiac arrest at admission, elevated cardiac markers, ST segment deviation
over 140 is significant. range 2-372
What is DDX for dialted cardiomyopathy
VINDICATED
Vascular
Infectious
Neoplastic
Degnerative, Deficiency
Idiopathic, Intoxication
Congenital
Automimmune
Traumatic
Endocrine
Depression/Anxiety
DDx for atrial fib
MISS CH ATRIEL
Mitral valve disease
Inherited
Sick
Sick sinus syndrome
CHF
HTN
Atherosclerosis
Thyrotoxicosis
Rhemuatic Heart Disease
Infiltrative and Inflammatory processes
Embolus
Lone AF
What are causes of HTN
CRAMPS
Coarctation of aorta, CNS disease
Renal parenchymal disease, renal vasular
Aldosteronism, arterosclerosis
Medications, Myxedema
Pheochromocytoma, polycythemia, preclampsia, pseudoHTN
Steroid escess, scleroderma, stroke volume increase
what is acute chest syndrome
new infiltrate on chest radiograph in combination with at least 1 clinical sign or symptom (chest pain, cough, wheeing, tachypnea, fever)
how does acute chest syndrome cause pain in bone marrow
reduce the blood flow
painful ischemia and necrosis
What is Tx for Acute chest syndrome
supportive care
incentive spirometry
broad-spectrum antibiotics
bronchodilators
exchange transfusion
