Cardio I (From Quarter 4) Flashcards Preview

*DOOS 2 > Cardio I (From Quarter 4) > Flashcards

Flashcards in Cardio I (From Quarter 4) Deck (36):
1

what will cause a widened mediastinum

widened vessels

2

how do you diagnose LV hypertrophy

Echo

3

most common cause of LV hypertrophy

HTN

4

Lasix + cramping means what?

Low potassium

5

chest pain is most often caused by what?

GI

6

biggest physical exam symptoms in heart failure

JVP
pulmonary edema
lower extremity edema

7

if someone has aortic stenosis what should you get before a stress test?

Aortic stenosis

8

stress test for someone who can't walk?

nuclear stress test

9

If you see "calcified coronary arteries" what do you think of?

doesn't necessarily mean obstructive coronary dz
need to get symptoms, ECG, etc.

10

with pleural effusions with CHF is the onset gradual or quick?

Gradual

11

what can you do to rule out renal causes of BP (secondary)

renal US

12

if BP is elevated what should you start with?

Lifestyle modifications for first 3-6 month if midly elevated

13

what usually causes flash pulmonary edema?

HTN

14

is nitroglycerin a great antihypertensive med?

No

15

what is BIPAP?

Bilevel positive airway pressure

16

what does BIPAP help perfuse?

The kidneys

17

acutely hypertensive with sharp, stabbing back pain?

Aortic dissection

18

what is back pain like with MIs?

Dull (referred pain)

19

what is a normal EF?

55-65%

20

less then 55% EF is considered what?

LV dysfunction or diminished EF

21

what percentage are you at increased risk of having sudden cardiac death due to arrhythmia? mainly vtach and vfib

<30% ejection fraction (need an AICD)

22

what causes diastole heart failure?

HTN

23

what is diastolic dysfunction

tight, stiff heart

24

study that created a lot of criteria for cardiac things?

Framingham study

25

You lie down then sudden wake up gasping for air and have to sit up.

Paroxysmal nocturnal dyspnea (PND)

26

what type cough do people with CHF get?

nonproductive cough

27

what may be elevated with CHF?

BNP, but can be elevated for other reasons

28

NYHA class with No limitations: No sx with walk/jog, carry

NYHA class I

29

NYHA class with Marked limits: OK rest, Sx with light work/activity or walk > 2.5 mph

Class III

30

NYHA class where ’Cardiac cripple’: Sx at rest, often O2 dep

NYHA class IV

31

NYHA class with Few limits: OK rest, Sx-fatigue, palpitations angina beyond light activity, > 4 mph

NYAH II

32

biggest 2 meds to give people in systolic dysfunction

beta blockers
ACEI

33

when do you give digoxin?

Help with symptoms

34

when do you give anticoagulants?

Need another reason
consider if EF <30% (LV thrombus)
afb

35

What does CHADS stand for?

CHF
HTN
Age > 75
DM
CVA (x2)
consider anticoag if score >2

36

what are some drugs that are AV nodal blockers

diphenhydramine CCB (diltiazam)
Beta blockers
Digoxin
Amiodarone