CVD - Angina Flashcards
(26 cards)
Stable Angina Treatment?
GTN dose 5mins intervals
Call 999 after 2nd dose
Stable Angina Long term management? 1st line?
Beta blocker or RL CCB (not together)
Stable Angina Long term management? 2nd line?
CCB + Beta blockers
Stable Angina Long term management? 3rd line?
Nitrates long acting:
Nicorandil, Ivabradine, Ranolazine
Common Nicorandil side effect to know?
Gi & Mucosal ulcerations
GTN tabs when to discard?
8 weeks after opening
Nitrates free period? Why?
16 hours
So 2nd dose is given 8hrs apart not 12
Prevents tolerance developing
GTN patches duration and caution?
8-12 hours a day
Caution in Elderly -> Fall risk
(Dizzy, flushing)
STEMI MEANS WHAT?
ST elevated myocardial infarction
STEMI PCI within how long?
2 hrs two widen arteries
If pci is done radial what is given?
Heparin
In the case of STEMI what meds should be given immediately?
Aspirin 300mg, GTN +/- Morphine + Antiplatelet
Myocardial necrosis in STEMI?
Complete block
Long term secondary antiplatelet in STEMI?
Prasugrel
What 5 meds do pt’s walk out with after a myocardial Infarction?
1) ACE
2) Betablocker
3) High Strength Statins
4) Aspirin
5) Clopidogrel/Prasugrel/ Ticagrelor
What’s Desmopressin used in?
Haemophillia
& Von Willebrand disease
Tranexamic acid used in?
Dental, surgery, Menorrhagia
Tranexamic acid side effects and max dose?
GI side effects
Max dose 4g
In heart failure what is decompensated?
It is Symptomatic
immediate treatment needed
In heart failure what is compensated?
When it is Non symptomatic
Heart functioning well enough
Chronic HF 1st line?
ACE + Betablocker
Chronic HF if not tolerated give what?
Hydrazine + nitrates
In chronic HF if symptoms still persist what is given after 1st/2nd line treatment?
Aldosterone antagonist - Spironlactone, Eplerone
Sinus HF treatment? Dose?
Digoxin but half dose of used in AF
