Data Interpretation Flashcards
Ondansetron is a
5HT-3 antagonist
SE ondansetron (chemo related nausea)
Long QT
CONSTIPATION
Where are ACEi activated
Liver
When can ACEI angioedema start
Up to a year later
SE ACEi
HYPERKALAEMIA
angioedema
Cough
Hypotension
Moderate asthma attack numbers
50-75 PEFR
RR<25
HR<110
Severe asthma numbers
PEFR 33-50
Rr > 25
HR >110
Adenosine used to
Terminate SVT
Adenosine contraindicated for
Asthmatics
MOA adenosine
Transient AV block via a1 receptors - reduced cAMP —> reduces K shift
SEs adenosine
Flushing
Chest pain
Bronchospasm
Accessory conduction
Acute asthma management
O2
Salbutamol
Pred 40-50 daily for 5/7
Ipatropium if not responding
IV MgSo4/aminophylline
Discharge criteria for asthma
No nens/o2 for 12-24hr a
Inhaler tech good
PEFR>75
ACS INITIAL MANAGEMENT
Aspirin 300mg
Oxygen if <94
Morphine if in pain
Nitrates if hypertensive or in pain
What is a STEMI
Symptoms of ACS
persistent >20 mins ECG contiguous leads
2.5mm in v2-3 men under 40
2mm in over 40
1.5mm in women
1mm any other leads
LBBB
When is PCI offered
Symptoms <12hrs
AND within 120mins
Or >12hrs still have symptoms
When is PCI offered
Symptoms <12hrs
AND within 120mins
Or >12hrs still have symptoms
Drugs for PCI
DUAPT
aspirin plus
Prasugrel (naive)
Clopidogrel (on one)
During PCI drugs
Radial - unfractipned heparim andGPI
femoral -bivalirudin and GPI
What’s given during fibrinolytic
Antithrombin
When is PCI done after fibrinolytic
If ECG same after 60-90 mins
What is initial management of NSTEMI
Aspirin
Fondaparinux if no PCI
Low GRACE NSTEMI management
Aspirin and ticagrelor (clopidogrel if high bleeding risk)
High GRACE NSTEMI patient
PCI drugs and +- fondaparinux
