Section 8: CCS Flashcards Preview

Cardiology USMLE Step 3 > Section 8: CCS > Flashcards

Flashcards in Section 8: CCS Deck (4)
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1

List the emergency orders in Unstable Angina

  1. Pulse oximetry
  2. Oxygen
  3. IV access
  4. Cardiac monitor
  5. Continuous BP monitoring
  6. EKG, 12 lead
  7. ASA
  8. Nitroglycerine

2

Diagnostic tests in unstable angina

  1. 12 lead EKG
  2. Cardiac enzymes
  3. CXR
  4. CBC
  5. BMP
  6. LFTs
  7. Lipid profile
  8. PT/INR and PTT
  9. Echocardiography
  10. Cardiology consult
  11. Cardiac catheterization

3

Therapy in unstable angina

  1. IV access
  2. Oxygen
  3. Aspirin
  4. Nitroglycerin
  5. Heparin
  6. Metoprolol
  7. Eptifibatide, a GPIIb/IIIa inhibitor
  8. Simvastatin
  9. Cardiology Consult
  10. Cardiac cathterization
  11. NPO
  12. Bed rest
  13. Counseling

 

4

After catheterization in unstable angina, what are the risk factors reduction we should pay attention to?

  • Check lipid profile (& TSH if abnormal)
  • Patient counseling
  • Smoking cessation
  • Limit alcohol
  • Exercise program
  • Medication compliance
  • Relaxation technique
  • Diet, low sodium
  • Diet, low cholesterol
  • Follow up visit in 2 to 6 weeks
  • Discharge home on medications (aspirin, metoprolol, statin, sublingual nitroglycerin, clopidegrel)