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- Med School Review 🔥 > Cardiac Treatment > Flashcards

Cardiac Treatment Flashcards

1
Q

Stable VT

A

IV Amiodarone

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2
Q

Unstable VT

A

Synchronized Cardioversion

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3
Q

Pulseless VT

A

Defibrillation

(+q2 Epi/Amio alternating)

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4
Q

Ventricular Fibrillation

A

Defibrillation

(+q2 Epi/Amio alternating)

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5
Q

Stable AFib

A

BBs

(Metoprolol)

  • or CCBs (Verapamil, Diltiazem)
  • +/- Warfarin/NOACs (anticoagulation)
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6
Q

Stable AFib + WPW

A

Procainamide

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7
Q

Stable AFib in CHF exacerbation

A

Amiodarone

(or Digoxin)

  • Avoid BBs/CCBs in CHF exacerbations
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8
Q

Unstable AFib, Bradycardia

(Bradyarrhythmia)

A

Transcutaneous Pacing

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9
Q

Unstable AFib, Regular or Tachycardia

(Tachyarrhythmia)

A

Synchronized Cardioversion

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10
Q

Unstable AFib + WPW

A

Synchronized Cardioversion

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11
Q

SVT

(PSVT, AVNRT, AVRT)

A

Adenosine or Vagal Maneuvers

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12
Q

Atrial Flutter

A

BBs

(Metoprolol)

Tx same as AFib

  • or CCBs (Verapamil, Diltiazem)
  • +/- Warfarin/NOACs (anticoagulation)
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13
Q

Complete (3o) Heart Block

A

Transcutaneous Pacing

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14
Q

PVCs (ASx)

A

Elimination of triggering agent

(No treatment)

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15
Q

PVCs + Sx

A

BBs

(if frequent or troublesome)

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16
Q

WPW (w/o AFib)

A

Radiofrequency ablation of accessory AV conduction pathway

17
Q

Bradycardia or BB overdose

A

Atropine

(Up ‘n ATropine!)

18
Q

Asystole or PEA

(Flatline or Pulseless electrical activity)

A

CPR + q4 Epi

19
Q

Order this test before starting pt on amiodarone

A

TSH

20
Q

Monitor in pts on amiodarone

A

TSH, LFTs

21
Q

Use caution when giving amiodarone to pts on this medication

A

Digoxin

22
Q

Avoid this med in pt with ACG (acute closed-angle glaucoma)

A

Atropine

(due to anticholinergic pupillary dilation [mydriasis])

23
Q

Check for this deficiency before starting pt on Dapsone (antimalarial)

A

G6PD deficiency

(can lead to dapsone-induced hemolytic anemia)

24
Q

Indication for endarterectomy in carotid stenosis

A

80% occlusion or 70% + Sx

(or stents)

25
Q

Carotid stenosis medical therapy

A

ASA + standard CVD Tx

26
Q

Vasospastic Angina

A

CCBs + NTG

(VasospastiC aNgina)

27
Q

High-risk HOCM

A

ICD placement

(if increased risk of SCD)

28
Q

Aortic Stenosis (ASx)

A

No Tx

29
Q

Aortic Stenosis (severe)

A

Valve replacement

30
Q

Panic attack

A
  • Acute: BDZs
  • Chronic: SSRIs
31
Q

Costochondritis

A

NSAIDs + Rest

32
Q

Acute Pericarditis

A

NSAIDs

  • 2nd line: Colchicine (anti-inflammatory)
33
Q

Aortic Dissection

A

IV BBs

  • +Morphine for pain
  • +Surgical repair if ascending
34
Q

Systolic HF CCBs

A

Amlodipine, Nifedipine

35
Q

Diastolic HF CCBs (HFpEF)

A

Verapamil, Diltiazem

36
Q

GERD

A

PPI or H2 blocker

  • +Weight loss
  • +Head elevation
  • +Nissen (last line)
37
Q

Acute decompensated HF Tx

A

Furosemide + O2

(+ABCD)

38
Q

AFib, Valvular

A

Warfarin

(Vitamin K antagonist)

  • “Valvular” = MS or artificial valve
39
Q

Cardiotoxicity from TCA overdose (prolonged PR/QRS/QT intervals)

A

Sodium bicarbonate

(if QRS >100 or ventricular arrhythmia)

  • Alleviates inhibitory action of TCAs on the Na+fast channels of the myocardium, improving hypotension & decreasing the risk of fatal ventricular arrhythmias (by shortening the QRS interval)
  • Note: Clinical features of TCA overdose:
    • CNS ∆s: Drowsiness, delirium, coma, seizures, respiratory depression
    • CV: Sinus tachycardia, hypotension, prolonged PR/QRS/QT, VT, VFib
    • Anticholinergic Sx: No pee, no see, no spit, no shit + tachycardia
    • Tx: O2, IVF, Charcoal (activated) if within 2 hours of ingestion, IV sodium bicarbonate

- Med School Review 🔥 (23 decks)

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