Cardiovascular Flashcards

1
Q

MRS ASS

A

Mitral regurgitation - systolic murmur

Aortic stenosis - systolic murmur

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2
Q

What is shock?

A

The abnormality of the circulation system resulting in inadequate tissue perfusion and oxygenation

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3
Q

mean arterial blood pressure =

A

Cardiac output x total peripheral resistance or

Stroke volume x heart rate x total peripheral resistance

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4
Q

What is hypertenison?

A

A disorder where the level of sustained arterial pressure is higher than expected foe the age,sex and race of an individual

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5
Q

The ability of the heart to beat rhythmically in the absence of external stimuli

A

Autorhythmicity

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6
Q

Where is the SA node located ?

A

Upper right atrium near where the SVC enters the RA

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7
Q

What occurs at Phase 0 of Ventricular action potential

A

Fast Na influx

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8
Q

What occurs at Phase 1 of Ventricular action potential

A

Closure of Na channels and transient K channels

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9
Q

How does warfarin work?

A

It blocks hepatic Vitamin K reductase to prevent the carboxylation of clothing factors into their activated form

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10
Q

Describe the features of an arterial thrombus

A

Is a “white thrombus”. Mainly platelets in a fibrin mesh
forms an embolus if it detaches from its site of origin (e.g. left heart, carotid artery) often lodges in an artery in the brain (stroke), or other organ

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11
Q

Does warfarin work in vivo, in vitro or both?

A

In vivo

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12
Q

Describe the feature of a venous thrombus

A

Is a “red thrombus”. White head, jelly-like red tail, fibrin rich
if detaches forms an embolus that usually lodges in the lung (pulmonary embolism)

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13
Q

In what type of patients should you not use LMWH’s?

A

Ones with renal failure

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14
Q

What factor/s does unfractionated heparin inhibit?

A

Factor IIa and Xa

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15
Q

What factor/s does LMWH inhibit?

A

Factor Xa

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16
Q

How are LMWH extrered?

A

Renally

17
Q

What are the adverse effects of heparin and LMWH’s?

A
haemorrhage – discontinue drug, if necessary administer protamine sulfate (inactivates heparin)
and rarely
osteoporosis (long term treatment)
hypoaldosteronism
hypersensitivity reactions
18
Q

How does dabigatrin work?

A

Directly inhibits thrombin. It is also a prodrug

19
Q

How does rivaroxaban work?

A

Directly inhibits factor Xa

20
Q

How does clopidogrel work?

A

a

21
Q

How does aspirin work?

A

b

22
Q

How does tirofiban work?

A

c