MDT Flashcards
(26 cards)
DBP >130, proteinuria
Hypertension Emergency
Poikilothermia, pallor, sudden extremity pain, right foot pulselessness, Paresthisia
Meds
Accute arterial occlussion of a limb
Enoxeparin
Chest pain, left shoulder pain, diaphoresis, indigestion, nausea, vomiting S3/S4
Coronary arterial disease
Claudication, diminish distal pulse, cool skin and muscle atrophy, ulcers
Peripheral vascular disease
Neurological deficit for 2 days, carotid bruins
Occlusive cerebrovascular disease
Meds for a hypertension patient with a BP 138/88 taking 50mg of HTCS
25 mg of HTCZ re-start and manage underlying conditions, lifestyle changes
Which are the classes and give one example of meds for hypertensive patients
Diuretics HTCZ
Acei-inhibitors lisinopril
CCB diltiazam
ARB’s Losartan
What is the goal BP for hypertensive urgency within what timeline and what meds would you use and what route?
DBP 110 or less in 24 hrs, Clonidine (not in AMAL) metoprolol 50mg BID 200mg max
what is the goal on treating Hypertension emergency on BP and what treatment process would you follow?
15-25% reduction of BP within min to hours and slowly decrease to 160/100 start IV O2 for less than 94% Labetalol (not in AMAL) IV!!!!! metropolol BID 50 mg max 200mg
Acute arterial occlusion of limb treatment
Enoxiparin 1m/kg q12
inmidiate surgical intervention, revascularizaion withing 3 hrs.
What options of treatment do you have for CAD
Life style changes most important smoking cessation Enoxeparin (lovenox) Atorvastatin (not in amal) Aspirin 81 mg daily surgical coronary artery bypass grafting stenting percuteneous coronary artery
treatment for PAD
life style changes smoking cessation reduce alcohol control diabetis, hypercholesterimia Meds Enoxiparin Cilostazol 100mg (not in amal) surgical bypass, stenting, amputation
Red, yellow papules on buttocks, cream colored blood vessels in the fundus of the eye,
Dyslipidemia
Treatment for dyslipidemia
lifestyle changes
Simvastatin 5-10mg
You have a patient with a HR 38 bpm, but EKG has a normal PQRST he is unresponsive what treatment would you follow
Atropine 0.5 mg IV
Dopamine IV
epinephrine IV
Delayed conduction between SA and AV prolonged PR interval constant and QRST present
1st degree block, no treatment warranted
Patient presents with lightheaded, dizziness, pre-syncope. EKG shows a HR of 50 bpm, P-R complex gets longer and longer until QRS drops suddenly R-R complex is even and regular. What is this EKG presenting and what treatment would you conduct for stable and unstable patient
2nd degree AV block type I
Stable: IV, O2 , 12 lead monitor, look for underlying condition.
Unstable: Atropine 0.5 mg IV (not in AMAL)
consider dopomine or epinephrine IV
What EKG presents with with a burried P wave, R-R regular and narrow QRS.
HR is 150/240 but commonly 160/220
treatment for stable and unstable
EKG PSVT
treatment stable: valsalva, breath hold, dunk face in bold of ice water carotid sinus massage, if unresolved adenoside 6mg IV with saline flush Q12 max 30mg
Unstable: synchronize electrical cardio version at 50-150j
Patient presents with palpitations, dyspnea with on exertion, fatigue, weakeness, chest pain. EKG has irregular R-R and wavy baseline
what is the EKG presenting
what is the treatment for stable and unstable patient
Atrial fibrillation Stable: ABC, IV, vitals, enoxiparin (lovenox) sub Q Unstable Shock him 100-200 Metropolol IV
Patient has substernal chest pain, pressure on chest, clinching fist over chest, pain radiate to left shoulder, arm, neck or jaw
Patient has diaphoresis, nausea and vomiting, feeling like they are going to die.
EKG presents a ST depression
Acute Coronary syndrome with NSTEMI or unstable angina
What is the treatment for Acute Coronary syndrome with NSTEMI or unstable angina, STEMI or prinzmetal agina .
ONAM oxygen Nitroglycerine Aspirin chew Morphine STEMI 30 mg IV bolus follow by lovenox 1mg/kg Q12 hrs. NSTEMI lovenox aspirin Prinzmetal angina metoprolol
Dyspnea, pulmonary edema, not productive cough, fatigue, exercise intolerance, rales, ronchi and wheezing on lungs
Left side/systolic congestive heart failure
Patient presents with JVD and or billater peripheral edema
Right side CHF
Patient presents with JVD and or billater peripheral edema
Right side CHF
