test4.2 Flashcards by Teresa Risoli

prolonger repolarization at AV node means what on ekg

inc PR
the class 2 way

class 4s will slow the rise of the action potential

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prosthetic valve organisms

staph epidermidis
strep vidridans

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heart block tx

CCB, BB (dec AV conduction)

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HTN 1st and 2nd line tx with MI comorbidity…stroke comorbidity

MI: BB then add ace/arb, 2. aldosterone agonist

stroke: ace/arb 2. thiazide, cab

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nethripic syndrome with reduced compliment levels

bergers, MPGN, lupus

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tx arythmie rate with heart failure

digoxin

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teat arythmie rate when all else fails

amiodarone

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which arrhythmic are most only supraventriclular and which is both both supra ventricular and ventricular

supraventricular= 2,4,digoxin

both=1a,1c,3

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A fib tx

2,4

coagulation= warfarin, oral DTI, DXI
(rare 1c)

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drugs that dec the metabolism of warfarin

Fuck Dude Throw Me 2CC

Flouconazole
Disulfram
Tri-S
Metronidazole
Cimitidine
Chlorphenicol

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what gene metabolizes B blockers

2D6

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what metabolized digoxin

p-glycoprotein
also metabolizes, anticancer and HIV

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Thinning of fibrosa layer of valve, expansion of spongiosa layer

myxomatosis degredation

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stary night

APGN

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subendothelial deposits

APGN(beginning), Bergers, MPGN1

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sub epithelial deposits

APGN(end, humps), membranous nephropathy

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diffuse proliferation and damge to glomerular cell

APGN

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is inc in diffuse mesangial sclerosis, type 4 col, fibronectin

diabetic nephropathy

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what drugs induce HUS

quinidine
oral contra
ticlodipine
e

gem
cyclosporine

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immune complexes deposited in mesangium

bergers

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hypocomplimentemia

APGN
MPGN
lupus nephritic

intramesangial deposits and hypercellularity

MPGN1

bloody diahread

HUS( triad +fever+rash)

PKD1 vs PKHD1

PKD1= ADPKD, chorom 16, połycystein

PKHD1=ARPKD, chrom 6, fibrocystein, hepatic fibrosis

VHL vs MET chromosomes

VHL chrom 3 causes hypermethylation MET trisomy 7

WT1 on chorom

11 three cell types

mucosal fissues and punct hemmorages and ___

chronic cystitis and mast cells

Vericigut ≠drug

Sildenafil, Verapamil, Diltiazam(CYP3A4 inhibition)

Verapamil ≠drug

Statin, Digoxcin, Dofetilide, Vericigut

Ivabradine ≠drugs

B Block, nonDPN CCB

when not to give Ca CB

with B block, Heart block, HF(causes HF!)

Drugs that exaggerate HF

CCB, NSAID, alcohol

AE for irreversible ADP r inhibitors

TTP

AE for GP2a3b

thrombocytopenia

Quinidine inhibits

CYP 2D6, P-glycoprotein, CYP 3A4

Natiuretic effect

ARNI, Dapaglifozin, Ca block, Dopamine, Vericigut, Fenoldopam

Decreases morbidity and mort

b block, spironolactone, dapagliflozin, aspirin, ANRI, ACEI

antagonists of P2Y12 R

ADP R blocker(INC cAMP >red plate agg.)

stabel angina tx

aspirin, nitrate, bb/ccb (refractory : ranolazine)

Stroke immediate and management

anti platelet manage with anticoagulant

a fib

2,4 (maybe 1c if the rest of the heart is healthy) anticoagulant: warfarin, DTI, DXI

acute supraventricular tachycardia (AVNRT)

adenosine

PCI prep and after management

prep: IV DTI, GP2b3a, heparin after: aspirin, anti platelet

MI immediate and after management

imm: Morphine, Oxygen, Nitrate, Aspirin management: BB, ACE, aspirin, statin

diastolic HF

ACE. ANRI, Dapagliflozin, Spironolactone

acute ventricle arythmia

Amiondarone, lidocaine, mexitiline

Prevent v fib in a fib

Amiodarone, 1c, 3, 4, Digoxin, 2

A fib to sinus rhythm

Dofetilide, propofanone

tdp tx

magnesium and bb

onset ischemic attach before and after 4 hours

before: alteplase after: apixaban

ventricular rate control

ToF tx

proporanolol