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[AF/flutter] Flashcards

1
Q
A

embolic stroke (4%)

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2
Q
A

warfarin

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3
Q
A

anyone with an irregular pulse

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4
Q
A

dizzy
faint
palpitations
(other symptoms)

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5
Q
A

HTN
alcohol
caffeine

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6
Q
A

hypokalaemia

low magnesium

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7
Q
A

MI
mitral valve disease
heart failure
heart ischaemia

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8
Q
A

pneumonia

PE

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9
Q
A

Hyperthyroidism

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10
Q
A

‘lone’ AF

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11
Q
A

dyspnoea
palpitations
chest pain
faintness

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12
Q
A

irregularly irregular

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13
Q
A

T

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14
Q
A

Absent P waves

irregular QRS complexes

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15
Q
A

left atrial enlargement
mitral valve disease
reduced LV function
(other structural abnormalities)

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16
Q
A

benign tumour of the atria.

17
Q
A

the measurable degeneration of the ability of the heart to contract due to any cause - usually leading to heart failure

18
Q
A

haemochromatosis

19
Q
A

the pulse calculated from listening over the apex of the heart with stethoscope

20
Q
A

the apical would be greater (this is due inefficient heart contractions which fail to transmit the pulse to a peripheral site. )

21
Q
A

absent P waves

irregular QRS complexes

22
Q
A

electrolyte imbalance (K and Mg - hypo)

23
Q
A

Exclusion of MI

24
Q
A

exclusion of hyperthyroidism

25
[AF/flutter]: acute AF Mx: within what time period constitutes acute AF
within 48 hours
26
[AF/flutter]: acute AF Mx: what are the indications for emergency cardioversion in AF (2)
very ill | haemodynamic instability
27
[AF/flutter]: acute AF Mx: what is the 1 step taken in emergency AF Mx
O2
28
[AF/flutter]: acute AF Mx: what is the 2nd step taken in emergency AF Mx
U&Es
29
[AF/flutter]: acute AF Mx: what is the 3rd step taken in emergency AF Mx
Cardioversion | patient should be in ITU and under GA/IV sedation
30
[AF/flutter]: acute AF Mx: what is the 1st step in cardioversio
GA or IV sedation
31
[AF/flutter]: acute AF Mx: what are the 3 progressive electrical stages in cardioversion
1. monophasic 200J 2. monophasic 360J 3. monophasic 360J (biphasic 200J)
32
[AF/flutter]: acute AF Mx: what is the 1st line drug cardiversion regimens
Amiodarone IVI 5mg/kg over 1hr then Amiodarone IVI 900mg over 24hrs (central line) alternatively Amiodarone PO 200mg/8hrs for 1 week Amiodarone PO 200mg/12hrs for 1 week Amiodarone PO 100-200mg/24hrs mainenance
33
[AF/flutter]: acute AF Mx: what is the alternative to amioarone for drug cardioversion
flecainide
34
[AF/flutter]: acute AF Mx: what type of drug is flecainide
class Ic anti-arrhythmic drug | sodium channel blocker - use dependent. strong -ve ionotrope
35
[AF/flutter]: acute AF Mx: what dose is used for flecainide cardioversion
2mg/kg IV over 10-30 minutes | max 150mg
36
[AF/flutter]: acute AF Mx: what must you monitor whilst administering flecainide
ECG
37
[AF/flutter]: acute AF Mx: what are the CIs for using flecainide (3)
IHD WPW unstable patient

CARDIOLOGY (11 decks)

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