CARDIOLOGY Flashcards

Question

VT QT LARGO SYNDROMES JIERWEL BRUGADA NIELSEN ETC SYNCHONISMO MACROLIDOS QUINOLONES .. AGENTS IA QUINIDINE ETC ALWAYS CHECK AND TREAT MG FIRST

Answer 1

STABLE: AMIODARONE LIDOCAINE PROCAINAMIDE MAGNESIUM TORSADE DE POINTES UNSTABLE: SYNCHRONIZED CADIOVERSION

Answer 2

``` DEFIBRILATE UNSYNCRONIZED CARDIOVERSION EPI IV DEFIBRILATE AMIODARONE OR LIDOCAINE DEFIBRILATE CPR ```

Answer 3

EKG -HOLTER -TELEMETRY CARDIAC - BLOOD PRESSURE MONITORING MAGNESIUM PHOSPH CALCIUM POTASSIUM TOXICOLOGY THEN TEE: TRANS ESOPHAGEAL ECHO-CARDIOGRAM

Answer 4

``` PULSE OXY EKG IV MORPHINE ASPIRIN METOPROLOL NG SL LISINOPRIL FOR ALL AMI STOP AFTER 6 WKS FOR NORMAL EF ``` ``` ORDER: CKMB EVERY / 2 HRS ADMIT TO ICU NPO BED REST PNEUMATIC DEVICE COMPRESSION COPIDOGREL IV BIVALOURIDIN FOR 48 HRS BETTER THAN UNFRACTIONED HEPARIN IV EPIFIBATIDE IIa/IIIb ``` CONSULT CARDIOLOGY CARDIAC ANGIOPLASTY IF < 90 MIN AND Tpa IF 90- 12 HRS INTRARAORTIC BALOOM FOR UNSTABLE PATIENTS TIME TO CATH LAB OR GIVE THEM 1 ST DOSE Tpa THE TRANSFER TO NEXT LAB CATH FACILITY. STATINS LFT 6 MOS FU

Answer 5

``` EKG: COMPLETE AV BLOCK IV ATROPINE IVA NSS IV DOPAMINE TRANS CUTANEOUS PACEMAKER ```

Answer 6

``` PULSE OXY OXYGEN EKG: V TACK CARDIAC MONITORING BP MONITORING IVA NSS ``` ORDER: ``` DC CARDIO-VERSION 100 ... 360J IF PERSISIT AMIODARONE FOLLOWED BY LIDOCAINE ABG BMP CBC CARDIOLOGY CONSULT ECHO-CARDIOGRAM ``` STABLE PATIENTS: AMIODARONE > LIDOCAINE > IPIFIBATIDE TREATMENT OF THE UNDERLYING CAUSE.

Answer 7

ORDER: ``` EKG: VENT FIBRILATION PULSE OXY IV ACCESS OXY THERAPY CARDIAC MONITORING BP MONITORING ABG ``` ORDER: ``` ASYNCHRONIZED CARDIO-VERSION CPR DEFIBRILLATION AT 360 J INTUBATION AMIODAROE >> LIDOCAINE BICARBONATE ```

Answer 8

COMPLETE PE VITALLY STABLE EKG: NORMAL ``` ADMISSION TO WARD SERIAL CARDIAC ENZYMES EVERY 8 HOURS TELEMETRY AMBULATE AT WELL ORAL PROPRANOLOL ORAL NG ORAL ASPIRIN CBC BMP ECHO LIPID PROFILE ATORVASTATIN IRRESPECTIVE TO LIPID PROFILE RESULT ``` IF THERE IS A HISTORY OF WORSENING PHYSICAL FUNCTION OR FREQUENCY PAIN PROCEED WITH ANGIOGRAPHY TO DECIDE CABG OR NOT ``` ORDER: ATENOLOL ASPIRIN NITROGLYCERIN STATIN ORAL SCHEDULE FOR CARDIAC CATHETERIZATION AFTER 2 WK ```

Answer 9

ORDER: FASTING LIPID PROFILE TOTAL 212 LDL138 TG 152 HDL 52 BMP CBC ORDER: STATINS FORWARD THE CLOCK 6 MOS TO RESCHEDULE FOR SERUM CK AND LFT LYFE STYLE MODIFICATIONS: STOP SMOKING NICOTINE PATCH - BUPROPION / VARENCYCLINE CI IN CARDIOVASCULAR DISEASE OR DEPRESSION. EXERCISE LOW FAT DIET

Answer 10

FOCUSED PE VITALY STABLE ``` PULSE OXY OXY THERAPY CARDIAC MONITORING BLOOD PRESSURE MONITORING NG SL IV MORPHINE ``` EKG ABG CXR ORDER CKMB E/ 8 HRS ECHO BNP ``` ADMIT TO ICU SEMI SITTING POSITION BED REST PNEUMATIC COMPRESION DEVICE NPO SWANZ GANZ CATHETER ``` IV FUROSEMIDE EVERY 20 MINUTES IV MORPHINE IV NG IV DOBUTAMINE IV ENALAPRILAT EF LESS 30 % IV SPIRONOLACTONE INHIB R-A-A SYSTEM WATER RETENTION EFECT NESIRITIDE : SYNTHETIC ANP AFTER STABILIZATION DIGOXIN ORAL CARVEDILOL PO

Answer 11

``` PULSE OXY OXY THERAPY EKG LVH SV1+RV5>35 ST DEPRESSION HCM CARDIAC MONITORING BP MONITORING BMP UA LIPID PROFILE TSH ``` ``` ORDER: TRANSFER TO ICU NPO BED REST PNEUMATIC COMPRESSION DEVICE ``` IN ICU YOU CANT GIVE IN ER NEED ARTERIAL LINE: NITROPRUSIATE TARGET 20 % REDUCTION MEAN BP 160/100 6 FIRST HOURS INTERVAL HISTORY AND MONITORING VITALS ADVANCE CLOCK TO GET BP AFTER CONTROLLED WARD WITHDRAWN ARTERIAL LINE AND IV DRUGS TO ORAL PO THIAZIDE ACE/ARB OR ATENOLOL ACCORDING TO YOUR CASE.

Answer 12

``` DO FOCUS PE AS UNSTABLE PT ORDER: PULSE OXY OXYGEN THERAPY EKG CARDIAC MONITORING BP MONITORING CXR: CARDIOMEGALY FULL CHAMBERS KELLYS LINES ECHO DILATED CHAMBERS EF < 25 % INSUFFICIENT MV TP PV ACEI CARVEDILOL DIGOXIN FUROSEMIDE NYHA III IV EPLERENONE SPIRONOLACTONE LMWH COUNSEL STOP ALCOHOL ```

Answer 13

``` CXR: STRAIGHT LEFT HEART BORDER BIPHASIC O WAVES V1 LARGE ATRIUM ECHO: DILATED LA CARDIAC CATHETERIZATION: IF OUTLET < 1 CM SEVERE MS NEED EMERGENT COMISUROTOMY OR REPLACEMENT ``` ``` SALT RESTRICTION FUROSEMIDE FU IN 2 WKS ADVANCE CLOCK NO IMPROVEMENT BALOOM VALVULOPLASTY. ```

Answer 14

``` ORDER: OXYG PULSE OX CADIAC MONITOR IVA ``` ``` ORDER: CBC CHEM 8 PT,PTT CARDIAC ENZYMES E/ 8 HRS LFT EKG 12 LEADS NTG SL AND ASPIRIN (CAN ALSO BE GIVEN HERE) CXR PORTABLE IV LASIX ONE TIME MORPHINE ONE TIME BOLUS NITROGLYCERINE TOPICAL DECREASE PRELOAD IF THE APATIENT IS > 150/90 CAN USE NITROGLICERINE IV CONTINOUS IF HYPOTENSIVE BP< 100 USE DOPAMINE IV CONTINUOS ``` ``` MOVE THE CLOCK TO GET THE LABS LFT TAKE 2 HRS THE REST 1 HR SO MOVE THE CLOCK 1HR FORWARD INTERVAL CHECK ORDER VITALS IF STABILIZED ORDER ECHOCARDIOGRAM CHANGE LOCATION: ICU ```

Answer 15

``` ORDER: OXYG PULSE OX CADIAC MONITOR IVA ``` ``` ORDER: CBC CHEM 8 PT, PTT CARDIAC ENZYMES E/ 8 HRS LFT EKG 12 LEADS NTG SL AND ASPIRIN (CAN ALSO BE GIVEN HERE) CXR PORTABLE IV LASIX ONE TIME MORPHINE ONE TIME BOLUS NITROGLYCERINE TOPICAL DECREASE PRELOAD IF THE PATIENT IS > 150/90 CAN USE NITROGLICERINE IV CONTINUOUS IF HYPOTENSIVE BP< 100 USE DOPAMINE IV CONTINUOUS ``` ``` MOVE THE CLOCK TO GET THE LABS LFT TAKES 2 HRS THE REST 1 HR SO MOVE THE CLOCK 1HR FORWARD INTERVAL CHECK ORDER VITALS IF STABILIZED ORDER ECHO-CARDIOGRAM CHANGE LOCATION: ICU FLUID RESTRICTION MONITOR INPUT OUTPUT LIPID PROFILE ``` MOVE THE CLOCK GET ECHO CARDIOGRAM REPORT MOVE THE CLOCK NEXT DAY ROUND 9 AM END OF CASE ACEI/ARB ONCE TH E PATIENT IS STABLE AFTER 2 OR 3 DAYS REPEAT CHEM 8 IF RENAL FUNCTION IS SATBLE IT CAN BE ADDED SPIRONOLACTONE: ONCE THE PATIENT STABILIZES UNLESS SERUM POTASSIUM 5.0 OR MORE BETA BLOCKER PRIOR TO HOSPITAL DISCHARGE.

Answer 16

``` ORDER: IV LINE CBC BMP UA LFT CPR ESR BLOOD CULTURES URINE C S CXR ``` ``` ORDER: STAT OF IVIG CONTINUOUS ASPIRIN ORAL CONTINUOUS CHANGE LOCATION TO WARD CALL PEDIATRIC CARDIOLOGY ```

Answer 17

EPLERENONE >> SPIRONOLACTONE

Answer 18

NSTEMI or POST PCI

Answer 19

ICU NTG/ARTERIAL LINE -NITROPRUSSIATE/LABETALOL 20% PS+2PD/3 MEAN BP 160/100 6 FIRST HOURS FENOLDOPAM: ASTHMA

Answer 20

5 YRS 3 YRS 2 YRS

Answer 21

``` 80 R DOMINANT AV NODE PLUS VAGAL TONE IN R PTS = AV CONDUCTION DEFECTS SO ATROPINE DOBUTAMINE IT AND PACEMAKER IT NTG AND DIURETICS WORSENS RV PTS IV FLUID THEM DON'T NITRATE! THEM DON'T B BLOCKADE IF HR < 60 ```

Answer 22

CLONIDINA/RESERPINE/GUANETIDINE/TRIMETAPHAN ALL - SYMPATIC CENTRAL/GANGLIONAR ANTAGONIST DIRECT ARTERIOLAR DILATORS HYDRALAZINE/MINOXIDIL REFLEX TKC SLE LIKE HISTONES + ALPHA BLOCKERS REFLEX TKC EDEMA SPIRONOLACTONE/TRIAMTERENE

CARDIOLOGY Flashcards

(46 cards)