diltiazem, a CCB (vasodilator) used for severe HTN - should NOT be taken w/ BB - SE: constipation, peripheral edema, lupus-like rash

Floor Notes Flashcards by Stephan Green

differential diagnostic tool for atrial fibrilation?

PIRATES

Pulmonary (PE, COPD, congestion)
Iatrogenic and infection
Rheumatic heart dx
Atherosclerosis and alcohol
TSH (hypo or hyper)
Electrolytes
Sick sinus syndrome and sepsis

How well did you know this?

Not at all

Perfectly

can a-fib cause a cardiomyopathy within months?

yes

How well did you know this?

Not at all

Perfectly

cardiac enzymes are?

tropinin I
- most sensitive and specific to myocardial dmg, released from cytosol of dead myocytes
- lvls measurable in 2-4 hours (not before), normalizes in 7 days
CK (creatine kinase)
- normalizes in 3 days

How well did you know this?

Not at all

Perfectly

define malingering

exaggerating or to feign illness to escape duty

How well did you know this?

Not at all

Perfectly

Cardizem is?

diltiazem, a CCB (vasodilator) used for severe HTN

should NOT be taken w/ BB
SE: constipation, peripheral edema, lupus-like rash

How well did you know this?

Not at all

Perfectly

what happens to WBC count during an infarct?

WBC increases d/t inflammation

How well did you know this?

Not at all

Perfectly

CTA is?

CT (computed tomography) angiogram, a vascular study that uses iodine-rich contrast
- also involves radiation

How well did you know this?

Not at all

Perfectly

what is the anti-coag cocktail?

Plavix (Clopidogrel), ASA, statin

How well did you know this?

Not at all

Perfectly

what is the MOA of Clopidogrel? what’s the main risk?

adenosine-diphosphate R inh > dec platelet aggregation

bleeding

How well did you know this?

Not at all

Perfectly

what does DAPT stand for?

dual anti-platelet therapy = ADP R inh + ASA

How well did you know this?

Not at all

Perfectly

can PVD cause skin color changes?

yes

How well did you know this?

Not at all

Perfectly

what should you ask from a patient when checking lung sounds?

take deep breaths with their mouth open

How well did you know this?

Not at all

Perfectly

define munchausen syndrome

psychiatric illness where a person attempts to fake an illness to receive medical care

GI bleed from Italy that taxi’d from GB to Mani only to not enter the hospital and ditch the taxi fare.

How well did you know this?

Not at all

Perfectly

what does fib stand for?

fucking Illinois bastard

How well did you know this?

Not at all

Perfectly

what’s ordered to test for polycythemia vera?

JAK2 mutation

How well did you know this?

Not at all

Perfectly

myotonic dystrophy

multisystem disorder d/t trinucleotide expansion (CTG) on c19

How well did you know this?

Not at all

Perfectly

what can high BP limit in the kidneys?

perfusion and thus urine creation

How well did you know this?

Not at all

Perfectly

alternative to furosemide? advantage?

bumetanide (bumex), easier on kidneys

How well did you know this?

Not at all

Perfectly

dobutamine

b1 agonist (sympathomimetic), inc heart contractility and thus CO

How well did you know this?

Not at all

Perfectly

mobilizing fluid causes what?

lots of urination

How well did you know this?

Not at all

Perfectly

can the heart rebuild itself from heart failure?

yes

broken heart syndrome

takotsubo syndrome, LV becomes stunned causing acute heart failure

takotsubo = fishing pot for trapping octopus

INR can increase due to?

antibiotics, 4-5 days without significant vit K, illness

one can’t do what over the phone?

read body language

regarding blood pressure medication, what should be noted in plan section?

hold guidelines for when systolics get too low

what's protocol for chronic steroid doses in post-op pts?

double the dose to avoid adrenal insufficiency

one ounce of prevention equals..

one pound of cure

instant patient, just..

add water

what do steroids do?

bump WBC count

FFP is..

fresh frozen plasma

VRE is..

vancomycin resistant enterococci

pronator drift

UMN dysfunction, eyes closed and arms out, palms drift towards pronation/away from supination

no such thing as bad weather, only..

bad clothing

at what point has a stress test provided adequate information?

9 minutes for treadmill, normal at this time = good prognosis

what should be added to patient charts post-op ortho?

blood loss anemia

what's included in an ABG?

pH: 7.35 - 7.45 pCO2: 35 - 45 HCO3: 22 - 26 pO2: 80 - 200

LDH

lactate dehydrogenase, enzyme found in most cells that when found in serum suggests cell damage and death is occurring somewhere

ear infections can lead to..

disequilibrium, vertigo, light-headedness (feeling like one might faint)

what class of drugs carries risk of strokes in elderly pts with dementia?

second gen antipsychotics

if a pt is cognitively impaired and isn't eating, what's that mean?

red flag! figure it out

don't prescribe what to females?

inserts

RVR

rapid ventricular rate, seen in a-fib

ivf

intravenous fluids

fluctulance

wave-like feeling to palpation

induration

increase in fibrous elements in tissue, associated with inflammation and loss of elasticity

Zosyn

Pipercillin + Tazobactam

Levaquin benefits

G- and G+ coverage, lacks psuedomonal coverage though

Phlegmasia cerulea dolens

painful leg swelling that turns the LE blue

SIRS criteria

fever > 100.4F, hypthermic 96.8 WBC > 12000 or > 10% bands tachy (HR > 90) hypervent (> 20 bpm) or PaCO2 < 32mmHg

what can cause hypercalcemia?

bone cancer, or metastasis to the bone, all d/t bone breakdown