5 Cardiovasc Flashcards Preview

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Flashcards in 5 Cardiovasc Deck (16):
1

More of action of spironolactone

Mineralocorticoid receptor antagonist, inhibits sodium reabsorption in the collecting duct

2

Want is the mode of action of digioxin?

Increased vagal nerve activity so slowing if av conduction

3

Mode of action of ivabradine

Selective inhibition of the pacemaker

4

Symptom control for oedema in HF?

Furosemide 40 OD

5

Lifestyle advice for HF

Salt intake
Smoking
BP
Weight
Alcohol
Exercise

6

Counselling for HF

Recognise worsening symptoms, weight self
Adherence
What is HF
Resuming sexual activity is ok
Prognosis

7

Drugs to avoid in HF?

NSAIDS
Steroids
Na increasing drugs such as antacids

8

Two comorbid considerations for HF?

Vaccinations
Depression

9

ACS modifiable risk factors

Hypertension
Smoking
Chol
Triglycerides
Sat fat intake
Obesity
Diabetes
Lifesly

10

Alcohol advice

No more than 3-4 units for men and 2-3 for women per day.

11

What happens in a exercise tolerance test that indicates ACS?

85% of max predicted heart rate is not reached, substantial ST segment depression

12

What is heart failure?

When the delivery of blood and oxygen is inadequate for the needs of the tissues

13

WHO GETS A PCI

All stemi
Some nsemi

14

The full shabang of drugs for NTEMI with grace score over 3%

Aspirin 300mg clop 600mg
Fodaparinux 2.5mg od
Beta blocker
Ace
Statin
IV Nitrates if in pain
Morphine and metoclopramide prn

15

Thrombolysis is shown to reduce mortality in ...., but not .....

Stemi but not nsemi
But this is largely superceeded by PCI.

16

What is the role of Glycoprotein 2B/3A inhibitors

Used in NSTEMI and UA with high risk factors
Also used post PCI to reduce thrombotic complications due to plaque disruption