Flashcards in 5 Cardiovasc Deck (16):
More of action of spironolactone
Mineralocorticoid receptor antagonist, inhibits sodium reabsorption in the collecting duct
Want is the mode of action of digioxin?
Increased vagal nerve activity so slowing if av conduction
Mode of action of ivabradine
Selective inhibition of the pacemaker
Symptom control for oedema in HF?
Furosemide 40 OD
Lifestyle advice for HF
Counselling for HF
Recognise worsening symptoms, weight self
What is HF
Resuming sexual activity is ok
Drugs to avoid in HF?
Na increasing drugs such as antacids
Two comorbid considerations for HF?
ACS modifiable risk factors
Sat fat intake
No more than 3-4 units for men and 2-3 for women per day.
What happens in a exercise tolerance test that indicates ACS?
85% of max predicted heart rate is not reached, substantial ST segment depression
What is heart failure?
When the delivery of blood and oxygen is inadequate for the needs of the tissues
WHO GETS A PCI
The full shabang of drugs for NTEMI with grace score over 3%
Aspirin 300mg clop 600mg
Fodaparinux 2.5mg od
IV Nitrates if in pain
Morphine and metoclopramide prn
Thrombolysis is shown to reduce mortality in ...., but not .....
Stemi but not nsemi
But this is largely superceeded by PCI.