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Question 1

Explain the 5 letter PPM Code

Answer 1

Pilsener, Stout, IPA

• Pacing (A, V, Dual)
• Sensing (A, V, Dual)
• Inhibitor Functioning (Trigger, Inhibit, Dual)
• Programmability (Rate adaptive, Simple)
• Anti-tachycardia (Pacing, Shock, Dual)

Question 2

When should you CONSIDER antibiotic prophylaxis for IE in the ED? What do you give for prophylaxis?

Answer 2

Step 1: High-risk condition for endocarditis?

• Previous IE
• Prosthetic valve
• Unrepaired cyanotic heart lesion
• Repair that is young (<6 months)
• Transplanted heart with a valve

Step 2: High-risk procedure?

• Gingival manipulation
• I&D of skin
• Incision of the respiratory tract

Step 3: Prophylaxis?

• Amoxicillin 2g PO
• Clindamycin 600 mg PO
• Ceftriaxone 1g IV

Question 3

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Answer 3

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